Partial gastrectomy for haemorrhage

Cocks, John R.; Desmond, A. M.; Swynnerton, B. F.; Tanner, N. C.

doi:10.1136/gut.13.5.331

Cited by 28 publications

(14 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An aggressive approach with initial ulcer plication for hemostasis followed by acid reduction procedures including vagotomy, antrectomy or gastrectomy was favored by some authors. This resulted in better control of ulcer bleeding and prevention of further rebleeding [7,8,9]. There was, however, an increased risk of major complications.…”

Section: Discussionmentioning

confidence: 99%

Surgical Salvage of Bleeding Peptic Ulcers after Failed Therapeutic Endoscopy

Chiu¹,

Ng²,

Wong³

et al. 2009

Dig Surg

View full text Add to dashboard Cite

Background: The approach to salvage surgery after failed endoscopic therapy for a bleeding peptic ulcer is controversial. We aimed to compare the outcomes of salvage surgery after failed endoscopic therapy for bleeding peptic ulcers over a 10-year period. Methods: Patients receiving salvage surgery for bleeding peptic ulcers were divided into 2 cohorts, the 1st from 1993 to 1998 and the 2nd from 1999 to 2004. The type of salvage surgery was defined as minimal if ulcer plication or an ulcerectomy was performed, and definitive if the patient received a vagotomy or gastrectomy. Results: One hundred and twenty-three patients received salvage surgery in the 1st cohort, while 42 patients received surgical hemostasis for the bleeding peptic ulcer in the 2nd cohort. Patients in the 2nd cohort consisted of a larger proportion of in-hospital bleeders (cohort 1: 12.2%, cohort 2: 42.9%; p < 0.005) and had a significantly higher proportion of comorbidities. A larger number of patients received minimal surgery in cohort 2 (cohort 1: 42.3%, cohort 2: 73.8%; p < 0.005). Conclusions: With advances in therapeutic endoscopy, patients who developed failed endoscopic hemostasis are likely to be poor surgical candidates with multiple comorbidities. The approach to salvage surgery has inclined towards minimal surgery to hasten surgical hemostasis among these fragile patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Salvage of Bleeding Peptic Ulcers after Failed Therapeutic Endoscopy

Chiu¹,

Ng²,

Wong³

et al. 2009

Dig Surg

View full text Add to dashboard Cite

show abstract

“…Gastroscopy has been used for many years by a few advocates of the vigorous diagnostic approach (Avery-Jones et al, 1968;Palmer, 1969;Cocks et al, 1972), but gastric lesions account for only about a half of all bleeding episodes. Fibreoptic instruments have recently facilitated and extenaed the range of examinations.…”

mentioning

confidence: 99%

Early Endoscopy of Oesophagus, Stomach, and Duodenal Bulb in Patients with Haematemesis and Melaena

Cotton¹,

Rosenberg²,

Waldram³

et al. 1973

BMJ

183

View full text Add to dashboard Cite

“…Such accidents are unlikely to be reported in the medical press, but probably most intrathoracic and upper abdominal organs have been penetrated at some time. 3 We therefore surveyed current practice regarding chest drain insertion in the Wessex and South Western regions and have devised a simple guard for use during the procedure.…”

Section: Short Reports Safer Insertion Of Pleural Drainsmentioning

confidence: 99%

Neodymium yttrium aluminium garnet laser photocoagulation for major haemorrhage from peptic ulcers and single vessels: a single blind controlled study.

MacLeod¹,

Mills²,

MacKenzie³

et al. 1983

BMJ

129

View full text Add to dashboard Cite

A prospective single blind controlled trial was performed to assess the efficacy of the neodymium yttrium aluminium garnet laser in the management of patients bleeding from peptic ulcers and single vessels. Over 20 months 184 patients were found at endoscopy to be bleeding from peptic ulcers and single vessels; 130 of these failed to meet the criteria for entry into the study, but their bleeding stopped with conservative management. Forty-five patients entered the study: in all 25 who were bleeding from ulcers with spots the bleeding stopped irrespective of the treatment allocated. Twenty patients were bleeding from arteries. Eight were allocated to placebo treatment, and all later underwent emergency surgery for further haemorrhage. Twelve were allocated to receive laser treatment, and only one of eight who actually received it required surgery (p <0 002).It is concluded that laser treatment reduces the incidence of further haemorrhage and the need for emergency surgery, but the technique is difficult and not always applicable.

show abstract

Partial gastrectomy for haemorrhage

Cited by 28 publications

References 11 publications

Surgical Salvage of Bleeding Peptic Ulcers after Failed Therapeutic Endoscopy

Surgical Salvage of Bleeding Peptic Ulcers after Failed Therapeutic Endoscopy

Early Endoscopy of Oesophagus, Stomach, and Duodenal Bulb in Patients with Haematemesis and Melaena

Neodymium yttrium aluminium garnet laser photocoagulation for major haemorrhage from peptic ulcers and single vessels: a single blind controlled study.

Contact Info

Product

Resources

About