title: [Hemorrhaging peptic ulcer--Therapy? When? Which?].
abstract: The influence of frequency of surgical interventions and the time of operation on the overall mortality is still a matter of considerable controversy. A close correlation between the risk and incidence of recurrent bleeding and the primary bleeding status during emergency endoscopy let us to design a new concept of a more aggressive surgical strategy. The dominating criteria for choice of treatment based on instant endoscopical classification of bleeding type and activity. The overall mortality was 5.4%. 59 patients (53%) underwent surgery with only two hospital deaths (3.4%). Among the group with conservative treatment there were four additional deaths (7.5%), all patients being above 70 years of age. The results suggest that mortality rates in patients with bleeding gastroduodenal ulcers can be reduced by a more aggressive surgical approach.
mesh_terms: D004381:Duodenal Ulcer / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D012008:Recurrence; D013276:Stomach Ulcer / Q000601:surgery*; D014629:Vagotomy, Proximal Gastric
vernacular_title: Das blutende Ulcus pepticum--Therapie? Wann? Welche?