title: [Routine second look endoscopy after bleeding ulcers].
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.
authors.affiliation: Gentofte Hospital, Kirurgisk Gastroenterologisk Afdeling D, Hellerup. stefan@stefanburgdorf.dk
authors.forename: Stefan K
authors.initials: SK
authors.lastname: Burgdorf
authors.forename: Sven
authors.initials: S
authors.lastname: Adamsen
authors.forename: Jacob
authors.initials: J
authors.lastname: Rosenberg
mesh_terms: 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