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Rutinemæssig second look-endoskopi efter blødende ulcus

Forfatter(e)
Stud.med. Stefan K. Burgdorf, overlæge Sven Adamsen & professor Jacob Rosenberg Gentofte Hospital, Kirurgisk Gastroenterologisk Afdeling D, og Herlev Hospital, Kirurgisk Gastroenterologisk Afdeling D
Reference: 
Ugeskr Læger 2008;170(18):1556-1559
Blad nummer: 
Sidetal: 
1556-1559
Summary Routine second look endoscopy after bleeding ulcers Ugeskr Læger 2008;170(18):1556-1559 Treatment of peptic duodenal and gastric ulcers has improved in efficiency and become less invasive. There is still a considerable risk of re-bleeding (15-20%) and the mortality remains high (5-14%). A Danish study from 2000 showed that scheduled second look endoscopy (SLE) the day after the primary intervention decreased the re-bleeding rate. Studies have questioned this and suggest that SLE decreases the risk of re-bleeding, but do not reduce mortality. Since SLE is debated and a recent national survey found a variable practice, the evidence has been reviewed critically.
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