Peptic ulcer disease endoscopy: Difference between revisions
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==Endoscopic therapy== | ==Endoscopic therapy== | ||
Endoscopic therapy can be | Endoscopic therapy can be done by following methods:<ref name="pmid1530782">{{cite journal |vauthors=Cook DJ, Guyatt GH, Salena BJ, Laine LA |title=Endoscopic therapy for acute nonvariceal upper gastrointestinal hemorrhage: a meta-analysis |journal=Gastroenterology |volume=102 |issue=1 |pages=139–48 |year=1992 |pmid=1530782 |doi= |url=}}</ref> | ||
*Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used. | |||
*Thermal coagulation: | |||
Revision as of 19:38, 6 November 2017
Endoscopic therapy
Endoscopic therapy can be done by following methods:[1]
- Injection therapy: Injection of diluted epinephrine (1:10,000) is commonly used.
- Thermal coagulation:
- Patients with active spurting or oozing bleeding or a non-bleeding visible vessel
| Active bleeding or non bleeding visible vessel | |||||||||||||||||||
| Endoscopic therapy | |||||||||||||||||||
| IV PPI bolus +infections | |||||||||||||||||||
- Patients with an adherent clot resistant to vigorous irrigation.
| Adherent clot | |||||||||||||||||||
| Endoscopic therapy | |||||||||||||||||||
| IV PPI bolus +infections | |||||||||||||||||||
Endoscopic therapy can be divided into injection therapy, thermal coagulation, and mechanical hemostasis.