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rdf:type |
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lifeskim:mentions |
|
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pubmed:issue |
6
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|
pubmed:dateCreated |
2005-7-1
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pubmed:abstractText |
Endoscopic treatment reduces bleeding recurrence, the need for surgery and mortality in patients with bleeding ulcers. However endoscopic treatment fails in 10-15% of patients, leading to high morbidity and mortality. The therapeutic measures with demonstrated effectiveness in reducing the risk of hemorrhagic recurrence and its complications are combined endoscopic treatment (adrenaline plus a second hemostatic intervention) and proton pump inhibitors. Also useful, although there is less evidence, are immediate resuscitation and <<second look>> endoscopy. Some studies suggest that activated recombinant factor VII infusion or supra-selective arterial embolization can be useful in severe hemorrhage. Further studies are required to determine optimal treatment according to the characteristics of each patient.
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pubmed:language |
spa
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pubmed:journal |
|
|
pubmed:citationSubset |
IM
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pubmed:chemical |
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|
pubmed:status |
MEDLINE
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pubmed:issn |
0210-5705
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pubmed:author |
|
|
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
347-53
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:15989817-Anti-Ulcer Agents,
pubmed-meshheading:15989817-Case Management,
pubmed-meshheading:15989817-Cohort Studies,
pubmed-meshheading:15989817-Combined Modality Therapy,
pubmed-meshheading:15989817-Duodenoscopy,
pubmed-meshheading:15989817-Epinephrine,
pubmed-meshheading:15989817-Evidence-Based Medicine,
pubmed-meshheading:15989817-Factor VII,
pubmed-meshheading:15989817-Factor VIIa,
pubmed-meshheading:15989817-Forecasting,
pubmed-meshheading:15989817-Gastroscopy,
pubmed-meshheading:15989817-Humans,
pubmed-meshheading:15989817-Meta-Analysis as Topic,
pubmed-meshheading:15989817-Peptic Ulcer Hemorrhage,
pubmed-meshheading:15989817-Proton Pumps,
pubmed-meshheading:15989817-Recombinant Proteins,
pubmed-meshheading:15989817-Recurrence,
pubmed-meshheading:15989817-Resuscitation,
pubmed-meshheading:15989817-Second-Look Surgery
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pubmed:articleTitle |
[Endoscopic treatment of bleeding ulcers: has everything been said and done?].
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|
pubmed:affiliation |
Unitat de Malalties Digestives, Hospital de Sabadell, Institut Universitari Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Barcelona, España. xcalvet@cspt.es
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pubmed:publicationType |
Journal Article,
English Abstract,
Review
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