title: [Endoscopic emergency therapy and early elective operation of at risk bleeding types in gastroduodenal ulcer hemorrhage--a prospective study].
abstract: 253 consecutive patients with bleeding gastroduodenal ulcers were treated in a prospective protocol from Jan/1986 to Dec/1993. All underwent emergency endoscopy and injection therapy. In ulcers with a high risk of rebleeding (Forrest Ia, Ib, and IIvisible vessel) we performed an early elective operation (n = 126). Operative mortality was 9% (11/126). No patient died after endoscopic treatment, therefore the over-all mortality was 4% (11/253).
authors.affiliation: Chirurgische Klinik der RWTH Aachen.
authors.forename: G J
authors.initials: GJ
authors.lastname: Winkeltau
authors.forename: G
authors.initials: G
authors.lastname: Arlt
authors.forename: S N
authors.initials: SN
authors.lastname: Truong
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D004630:Emergencies; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000145:classification / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D012008:Recurrence; D012307:Risk Factors; D015911:Sclerotherapy