[Routine second look endoscopy after bleeding ulcers].
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.
Burgdorf
Stefan K
SK
Gentofte Hospital, Kirurgisk Gastroenterologisk Afdeling D, Hellerup. stefan@stefanburgdorf.dk
Adamsen
Sven
S
Rosenberg
Jacob
J
D004381:Duodenal Ulcer / Q000175:diagnosis* / Q000401:mortality; D004384:Duodenoscopy / Q000379:methods*; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D012008:Recurrence; D012307:Risk Factors; D024162:Second-Look Surgery / Q000379:methods*; D013276:Stomach Ulcer / Q000175:diagnosis* / Q000401:mortality