rokcall score versus forrest classification in endoscopic management of bleeding peptic ulcerrokcall得分和福勒斯特消化性溃疡出血的内镜管理分类.pdf

Vol.2, No.6, 634-638 (2010) Health doi:10.4236/health.2010.26096 Rokcall score versus forrest classification in endoscopic management of bleeding peptic ulcer 1 1 2 3 Heba Sayed Assal *, Ashraf Elsherbiny , Hanan M. M. Badawy , Ehab Hassan Nashaat , Hesham al Shabrawi4 1Internal Medicine, Internal Medicine Department, National Research Center, Cairo-Egypt; * Corresponding Author: heba_assal@ 2Internal Medicine, Department, Faculty of medicine, Ain-shams University, Cairo-Egypt 3Internal Medicine, Internal Medicine Department, Faculty of medicine, Ain-shams University, Cairo-Egypt 4Internal Medicine Department, Ahmed Maher Teaching hospital, Cairo-Egypt Received 27 November 2009; revised 22 February 2010; accepted 24 February 2010. ABSTRACT Keywords: Endoscope; Bleeding Peptic Ulcer; Argon Plasma Coagulation; Clip Applications Acute upper gastrointestinal bleeding (UGIB) remains an important emergency situation. In the last two decades, major developments took 1. INTRODUCTION place influencing incidence, etiology and out- come of patients with acute UGIB. Peptic ulcer Since the late 1980s, endoscopic haemostatic therapy has bleeding is the most significant complication of been widely accepted as the first-line therapy for up- ulcer disease being responsible for 50% of all per-gastrointestinal bleeding. Most clinical trials demon- cases mortality. Aim of the study : To compare strated a reduction in both recurrent bl