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Review
. 2008 Apr 28;170(18):1556-9.

[Routine second look endoscopy after bleeding ulcers]

[Article in Danish]
Stefan K Burgdorf  1 , Sven Adamsen, Jacob Rosenberg
Affiliations
  • PMID: 18454926
Review

[Routine second look endoscopy after bleeding ulcers]

[Article in Danish]
Stefan K Burgdorf et al. Ugeskr Laeger. .

Abstract

Treatment of peptic duodenal and gastric ulcers has improved in efficiency and become less invasive. There is still a considerable risk of re-bleeding (15-20%) and the mortality remains high (5-14%). A Danish study from 2000 showed that scheduled second look endoscopy (SLE) the day after the primary intervention decreased the re-bleeding rate. Studies have questioned this and suggest that SLE decreases the risk of re-bleeding, but do not reduce mortality. Since SLE is debated and a recent national survey found a variable practice, the evidence has been reviewed critically.

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Comment in

  • [The re-bleeding ulcer].
    Andersen D. Andersen D. Ugeskr Laeger. 2008 May 26;170(22):1946; author reply 1946. Ugeskr Laeger. 2008. PMID: 18536136 Danish. No abstract available.
  • [The re-bleeding ulcer].
    Naesdal J. Naesdal J. Ugeskr Laeger. 2008 Jun 23;170(26-32):2358. Ugeskr Laeger. 2008. PMID: 18595170 Danish. No abstract available.