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Conference Paper: Bleeding peptic ulcer: An evolving role for surgical intervention

TitleBleeding peptic ulcer: An evolving role for surgical intervention
Authors
KeywordsEndoscopy
Haemorrhage
Helicobacter pylori
Laparoscopy
Peptic ulcer
Issue Date1998
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH
Citation
Journal Of Gastroenterology And Hepatology, 1998, v. 13 n. 11 suppl. 4, p. S227-S231 How to Cite?
AbstractEarly surgical intervention was previously advocated in patients > 60 years with bleeding peptic ulcer presenting with haemodynamic instability or ongoing transfusion requirements. It is, however, well recognized that emergency surgical intervention with its inherent risks must be reserved for highly selected patients in whom endoscopy initially fails to control exsanquinating haemorrhage or in whom life-threatening bleeding recurs. Therapeutic endoscopy for bleeding ulcer has led to a remarkable decline in rebleeding rates, the need for emergency surgery and mortality. Octogenarians are at risk, particularly when ulcer size exceeds 2 cm. Poor surgical candidates make up two-thirds of patients with major ulcer bleeding and operation is to be avoided if at all possible. Medical therapy with proton pump inhibitor and subsequent eradication of Helicobacter pylori following endoscopic treatment has been shown to be beneficial to outcomes. Should surgery be deemed necessary, it is likely that laparoscopic techniques to control bleeding, with or without the addition of an acid-reducing procedure, will find a role in haemodynamically stable patients undergoing operation on an early elective basis.
Persistent Identifierhttp://hdl.handle.net/10722/83139
ISSN
2015 Impact Factor: 3.322
2015 SCImago Journal Rankings: 1.190

 

DC FieldValueLanguage
dc.contributor.authorBranicki, FJen_HK
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorGertsch, Pen_HK
dc.contributor.authorTuen, HHen_HK
dc.contributor.authorChu, KMen_HK
dc.contributor.authorChow, LWCen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T08:37:28Z-
dc.date.available2010-09-06T08:37:28Z-
dc.date.issued1998en_HK
dc.identifier.citationJournal Of Gastroenterology And Hepatology, 1998, v. 13 n. 11 suppl. 4, p. S227-S231en_HK
dc.identifier.issn0815-9319en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83139-
dc.description.abstractEarly surgical intervention was previously advocated in patients > 60 years with bleeding peptic ulcer presenting with haemodynamic instability or ongoing transfusion requirements. It is, however, well recognized that emergency surgical intervention with its inherent risks must be reserved for highly selected patients in whom endoscopy initially fails to control exsanquinating haemorrhage or in whom life-threatening bleeding recurs. Therapeutic endoscopy for bleeding ulcer has led to a remarkable decline in rebleeding rates, the need for emergency surgery and mortality. Octogenarians are at risk, particularly when ulcer size exceeds 2 cm. Poor surgical candidates make up two-thirds of patients with major ulcer bleeding and operation is to be avoided if at all possible. Medical therapy with proton pump inhibitor and subsequent eradication of Helicobacter pylori following endoscopic treatment has been shown to be beneficial to outcomes. Should surgery be deemed necessary, it is likely that laparoscopic techniques to control bleeding, with or without the addition of an acid-reducing procedure, will find a role in haemodynamically stable patients undergoing operation on an early elective basis.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGHen_HK
dc.relation.ispartofJournal of Gastroenterology and Hepatologyen_HK
dc.subjectEndoscopyen_HK
dc.subjectHaemorrhageen_HK
dc.subjectHelicobacter pylorien_HK
dc.subjectLaparoscopyen_HK
dc.subjectPeptic ulceren_HK
dc.titleBleeding peptic ulcer: An evolving role for surgical interventionen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0815-9319&volume=13&spage=S227&epage=S231&date=1998&atitle=Bleeding+peptic+ulcer:+an+evolving+role+for+surgical+interventionen_HK
dc.identifier.emailChu, KM: chukm@hkucc.hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityChu, KM=rp00435en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1440-1746.1998.01738.x-
dc.identifier.scopuseid_2-s2.0-0031739655en_HK
dc.identifier.hkuros39513en_HK
dc.identifier.volume13en_HK
dc.identifier.issuen. 11 suppl. 4en_HK
dc.identifier.spageS227en_HK
dc.identifier.epageS231en_HK
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridBranicki, FJ=7003617514en_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridGertsch, P=35458223300en_HK
dc.identifier.scopusauthoridTuen, HH=6602991320en_HK
dc.identifier.scopusauthoridChu, KM=7402453538en_HK
dc.identifier.scopusauthoridChow, LWC=7202532995en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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