Table of Contents
Diagnostic and Therapeutic Endoscopy
Volume 4, Issue 2, Pages 61-64
http://dx.doi.org/10.1155/DTE.4.61

Endoscopic Obliteration for Bleeding Peptic Ulcer

1State Clinical Hospital, Postgraduate Medical Education Center, Department of Surgery, ul. Czerniakowska 231, Warsaw 00-416, Poland
2Państwowy Szpital Kliniczny nr 1, Klinika Chirurgii Ogólnej CMKP, ul. Czemiakowska 231, Warszawa 00-416, Poland

Received 12 December 1996; Revised 27 January 1997; Accepted 26 March 1997

Copyright © 1997 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A group of 133 patients treated for bleeding peptic ulcer in our Department, is reviewed. Within several hours of admission, all patients underwent upper gastrointestinal tract gastroscopy and obliteration of the bleeding ulcer. Bleeding gastric ulcers were found in 41 patients, and duodenal ulcers in 92 patients. Patients were classified according to the Forrest scale: IA – 11 patients, IB – 49 patients, IIA – 35 patients, lIB – 40 patients. In 126 (94.7%) patients the bleeding was stopped, and 7 required urgent surgery: 3 patients with gastric ulcer underwent gastrectomy, and 4 with duodenal ulcer – truncal vagotomy with pyloroplasty and had the bleeding site underpinned. Fifty-five patients underwent elective surgery: gastrectomy and vagotomy (18 patients with gastric ulcer), highly selective vagotomy (25 patients with duodenal ulcer) and truncal vagotomy and pyloroplasty (12 patients with duodenal ulcer). None of the patients was observed to have recurrent bleeding.