| Theme | Guideline for Medical Practice of Gastric Ulcers | |
|---|---|---|
| Title | Guideline for Statement on Endoscopic Hemostasis for Bleeding Gastric Ulcers | |
| Publish Date | 2004/02 | |
| Author | Takao Wakabayashi | Department of Internal Medicine, Second Teaching Hospital, Fujita Health University School of Medicine |
| Author | Junji Yoshino | Department of Internal Medicine, Second Teaching Hospital, Fujita Health University School of Medicine |
| [ Summary ] | Statement about endoscopic hemostasis for bleeding gastric ulcer. 1. Endoscopic hemostasis is more effective both in patients with active bleeding and those with nonbleeding, visibles vessels (grade A, level I). 2. Compared to the control group, it was more useful to employ endoscopic hemostasis procedures after initial treatment, for prevention of recurrence of bleeding and avoiding emergency surgery, for patients considered to be grade A, level I. 3. There was no difference noted between results achieved with the many endoscopic hemostasis methods, after initial treatment in terms of prevention of recurrance of bleeding (grade A, level I ). 4. Patients with continuous bleeding after all endoscopic procedures have been performed must have surgical operations. For patient over sixty, an aggressive surgical policy is associated with a significant reduction in mortality (grade B, level II). |
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