Clin Endosc.  2015 Mar;48(2):106-111. 10.5946/ce.2015.48.2.106.

Endoscopic Management of Peptic Ulcer Bleeding

• Kim JS
• Park SM
• Kim BW

• KMID: 1801200
• DOI: http://doi.org/10.5946/ce.2015.48.2.106

Abstract

Acute upper gastrointestinal bleeding is a common medical emergency around the world and the major cause is peptic ulcer bleeding. Endoscopic treatment is fundamental for the management of peptic ulcer bleeding. Despite recent advances in endoscopic treatment, mortality from peptic ulcer bleeding has still remained high. This is because the disease often occurs in elderly patients with frequent comorbidities and are taking ulcerogenic medications. Therefore, the management of peptic ulcer bleeding is still a challenge for clinicians. This article reviews the various endoscopic methods available for management of peptic ulcer bleeding and the techniques in using these methods.

Keyword

Gastrointestnal bleeding; Peptic ulcer bleeding; Endoscopy

MeSH Terms

Aged
Comorbidity
Emergencies
Endoscopy
Hemorrhage*
Humans
Mortality
Peptic Ulcer*

Figure

• 

  Fig. 1 Endoscopic findings. (A) Oozing by gastric ulcer was observed at distal antrum. (B) Oozing was stopped after injection of 1:10,000 diluted epinephrine solution.

• 

  Fig. 2 Endoscopic findings. (A) A non-bleeding visible vessel on ulcer base was observed at upper body of stomach. (B) Argon plasma coagulation was performed in the visible vessel.

• 

  Fig. 3 Endoscopic findings. (A) A spurting was observed at duodenal ulcer. (B) A spurting was stopped by apply of endoclip.

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