Abstract
There has been no significant reduction in mortality associated with bleeding peptic ulcer this century. Surgery for continued bleeding from a duodenal ulcer may be associated with a mortality rate of 20% or more. 1 Dykes PW Keighley MRB. Gastrointestinal hemorrhage. Wright PSG. 1981; : 11-12 Google Scholar In recent years several endoscopic techniques have been investigated, most notably bipolar electrocoagulation, heater probe, injection therapy, and laser coagulation. Although these techniques are capable of temporarily arresting hemorrhage and reducing blood transfusion requirements, few studies have shown a reduction in mortality. 2 Kreis JG Little KH Westergaard H Hamilton J Speeding DK Potter DE. Laser photocoagulation for treatment of acute peptic ulcer bleeding. N Engl J Med. 1987; 316: 1618-1621 Crossref PubMed Scopus (76) Google Scholar , 3 Laine L. Multipolar electrocoagulation in the treatment of active upper gastrointestinal hemorrhage. N Engl J Med. 1987; 316: 1613-1617 Crossref PubMed Scopus (211) Google Scholar
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