Andersen D, Wara P. Bleeding ulcer.
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY. SUPPLEMENT 1996;
216:20-6. [PMID:
8726275 DOI:
10.3109/00365529609094557]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A review is presented on theory and practice in the handling of gastroduodenal bleeding in the presurgical era with emphasis on the Meulengracht treatment. A description is thereafter given of the development of criteria for emergency surgery in the preendoscopic period with special mention of the circulatory evaluation using measurements of central venous pressure. A survey is given on the development in endoscopic diagnosis and treatment with a critical evaluation of the predictive value of clinical factors and endoscopic stigmata of haemorrhage. Finally the sparse knowledge on the haemostatic mechanisms of current endoscopic therapies is presented.
Collapse