TITLE:
Management of Peptic Ulcer Bleeding Refractory to Endoscopic Treatment
AUTHORS:
Tung Yen Lee, Cheng Cheng Tung
KEYWORDS:
Peptic Ulcer Bleeding, Surgery, Transcatheter Arterial Embolization
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.6 No.6,
June
7,
2016
ABSTRACT: Background: Before the advent of transcatheter arterial embolization (TAE), emergency surgery was the only choice for patients with peptic ulcer bleeding refractory to endoscopic therapy. This study compared the effectiveness of TAE and surgery in patients with peptic ulcer bleeding refractory to endoscopic hemostasis. Materials and Methods: This was a retrospective analysis of 116 patients with peptic ulcer bleeding refractory to endoscopic treatment at our institution. Eighty-three cases were treated with surgery, and 33 cases were managed with TAE. Clinical outcomes were evaluated. Results: There were no differences between groups with respect to the mortality rate (p > 0.05), length of hospital stay, or medical diseases related to mortality. The TAE group exhibited a significantly higher rebleeding rate (p