title: Heater probe thermocoagulation for high-risk patients who show rebleeding from peptic ulcers.
abstract: OBJECTIVE
  To investigate whether heater probe therapy is effective for patients showing rebleeding from peptic ulcers.
  
  
  METHODS
  We retrospectively reviewed the case profiles in our previous studies on endoscopic therapy for high-risk patients with peptic ulcer bleeding in the past two decades. We analysed the outcomes of 191 patients who showed rebleeding after initial endoscopic haemostasis and received endoscopic therapy with heater probe thermocoagulation. .
  
  
  RESULTS
  A total of 191 patients showing rebleeding received heater probe thermocoagulation. After re-therapy, 158 patients (82.7%) achieved ultimate haemostasis. Twenty-five of the 33 patients who failed to achieve haemostasis received surgical intervention. Ten patients (5.2%) died within 1 month after re-therapy.
  
  
  CONCLUSIONS
  Heater probe thermocoagulation can be used as the first choice for management of patients showing rebleeding after initial endoscopic therapy.
authors.affiliation: Division of Gastroenterology, Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, Chia-Yi and Buddhist Tzu Chi University, School of Medicine, Hwalien, Taiwan.
authors.forename: Yu-Hsi
authors.initials: YH
authors.lastname: Hsieh
authors.forename: Hwai-Jeng
authors.initials: HJ
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D004564:Electrocoagulation / Q000379:methods*; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006358:Hot Temperature / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery / Q000628:therapy*; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome
chemical_list: D004837:Epinephrine