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Rutinemaessig second look-endoskopi efter blödende ulcus
Engelsk titel: Routine second look endoscopy after bleeding ulcers Läs online Författare: Burgdorf SK ; Adamsen S ; Rosenberg J Språk: Dan Antal referenser: 18 Dokumenttyp: Översikt UI-nummer: 08051985

Tidskrift

Ugeskrift for Laeger 2008;170(18)1556-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

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.