Peptic ulcer disease endoscopy
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.