Treatment of patients at high risk for recurrent bleeding from a peptic ulcer

被引：10

作者：

Jensen, DM

Geffen, D

机构：

[1] Vet Affairs Greater Los Angeles Healthcare Ctr, CURE, Los Angeles, CA 90073 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, CURE, Los Angeles, CA 90073 USA

来源：

ANNALS OF INTERNAL MEDICINE | 2003年 / 139卷 / 04期

关键词：

D O I：

10.7326/0003-4819-139-4-200308190-00012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In this issue, Sung and colleagues report on a randomized clinical trial of treatments used when an endoscopist finds clots or nonbleeding visible vessels in a patient with recent upper gastrointestinal bleeding. The researchers compared medical therapy using an intravenous proton-pump inhibitor with medical therapy plus endoscopic hemostasis. This editorial explains the rationale for this study and its findings.

引用

收藏

页码：294 / 295

页数：2

相关论文

共 15 条

[1] Recurrent bleeding from peptic ulcer associated with adherent clot: a randomized study comparing endoscopic treatment with medical therapy [J].

Bleau, BL ;

Gostout, CJ ;

Sherman, KE ;

Shaw, MJ ;

Harford, WV ;

Keate, RF ;

Bracy, WP ;

Fleischer, DE .

GASTROINTESTINAL ENDOSCOPY, 2002, 56 (01) :1-6

[2] ENDOSCOPIC THERAPY FOR ACUTE NONVARICEAL UPPER GASTROINTESTINAL HEMORRHAGE - A METAANALYSIS [J].

COOK, DJ ;

GUYATT, GH ;

SALENA, BJ ;

LAINE, LA .

GASTROENTEROLOGY, 1992, 102 (01) :139-148

[3]

HALL WH, 1989, JAMA-J AM MED ASSOC, V262, P1369

[4] Randomized trial of medical or endoscopic therapy to prevent recurrent ulcer hemorrhage in patients with adherent clots [J].

Jensen, DM ;

Kovacs, TOG ;

Jutabha, R ;

Machicado, GA ;

Gralnek, IM ;

Savides, TJ ;

Smith, J ;

Jensen, ME ;

Alofaituli, G ;

Gornbein, J .

GASTROENTEROLOGY, 2002, 123 (02) :407-413

[5]

JENSEN DM, 1999, TXB GASTROENTEROLOGY, P2859

[6]

JENSEN DM, 1999, TECH GASTROINTEST EN, V1, P107

[7] EXPERIMENTAL COMPARISON OF ENDOSCOPIC YTTRIUM-ALUMINUM-GARNET LASER, ELECTROSURGERY, AND HEATER PROBE FOR CANINE GUT ARTERIAL COAGULATION - IMPORTANCE OF COMPRESSION AND AVOIDANCE OF EROSION [J].

JOHNSTON, JH ;

JENSEN, DM ;

AUTH, D .

GASTROENTEROLOGY, 1987, 92 (05) :1101-1108

[8] MEDICAL PROGRESS - BLEEDING PEPTIC-ULCER [J].

LAINE, L ;

PETERSON, WL .

NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (11) :717-727

[9] Effect of intravenous omeprazole on recurrent bleeding after endoscopic treatment of bleeding peptic ulcers. [J].

Lau, JYW ;

Sung, JJY ;

Lee, KKC ;

Yung, M ;

Wong, SKH ;

Wu, JCY ;

Chan, FKL ;

Ng, EKW ;

You, JHS ;

Lee, CW ;

Chan, ACW ;

Chung, SCS .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (05) :310-316

[10] The evolution of stigmata of hemorrhage in bleeding peptic ulcers: A Sequential Endoscopic Study [J].

Lau, JYW ;

Chung, SCS ;

Leung, JW ;

Lo, KK ;

Yung, MY ;

Li, AKC .

ENDOSCOPY, 1998, 30 (06) :513-518