Engelsk titel: Routine second look endoscopy after bleeding ulcers
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Författare:
Burgdorf SK
;
Adamsen S
;
Rosenberg J
Email: stefan@stefanburgdorf.dk
Språk: Dan
Antal referenser: 18
Dokumenttyp:
Översikt
UI-nummer: 08051985
Sammanfattning
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.