+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Does Doppler ultrasound improve the prognosis of acute ulcer bleeding?

Does Doppler ultrasound improve the prognosis of acute ulcer bleeding?

Hepato-Gastroenterology 41(1): 51-53

The visible vessel in the floor of the ulcer seen on endoscopy is one of the most important prognostic factors of ulcer bleeding. With the ultimate aim of improving the purely visual interpretation of the base of the ulcer, we investigated the utility of an innovative pulsed endoscopic Doppler procedure in 140 patients with acute ulcer bleeding. Agreement between the endoscopic appearance and the Doppler ultrasonographic findings was observed in only 59% of the ulcers. In all Doppler-positive ulcers, injection therapy was performed irrespective of the endoscopic appearance of the ulcer. This was repeated if the ulcer was still Doppler-positive on repeat examination. With this strategy, only 9% recurrent hemorrhages were seen, and there was no hemorrhage-associated mortality. Among the Doppler-negative lesions, which received only medical treatment, no rebleeding was observed. On the basis of these results, it would appear that a Doppler ultrasound oriented classification of ulcer bleeding is superior to the Forrest classification based on a purely visual interpretation. The endoscopic Doppler verifies the visual impression of the ulcer, identifies the indication for operative endoscopy, and can monitor the effectiveness of the latter.

(PDF emailed within 1 workday: $29.90)

Accession: 008496783

Download citation: RISBibTeXText

PMID: 8175116

Related references

The role of endoscopic doppler ultrasound in patients with peptic ulcer bleeding. Digestive Disease Week Abstracts & Itinerary Planner : Abstract No T1465, 2003

Significance of the ulcer vessel in acute ulcer hemorrhage--value of local endoscopic therapy in combination with endoscopic Doppler ultrasound. Zeitschrift für Gastroenterologie 30(7): 481-485, 1992

Treatment of acute ulcer bleeding based on Doppler classification Clinical outcomes. Gastroenterology 118(4 Suppl 2 Part 1): AGA A217, April, 2000

Acute ulcer bleeding Prospective randomized trial comparing Doppler and Forrest classification. Gastroenterology 108(4 SUPPL ): A133, 1995

Prognosis of the hemorrhage recurrence in the patients suffering from acute gastroduodenal ulcer bleeding. Klinichna Khirurhiia: 11-14, 2013

Acute aortic insufficiency advantage of the cardiac ultrasound doppler in the diagnosis and the prognosis. Annales de Cardiologie et d'Angeiologie 37(5): 277-279, 1988

Acute ulcer bleeding: A prospective randomized trial to compare Doppler and Forrest classifications in endoscopic diagnosis and therapy. Digestive Diseases and Sciences 42(7): 1370-1374, 1997

Acute ulcer bleeding: a prospective randomized trial to compare Doppler and Forrest classifications in endoscopic diagnosis and therapy. Gastrointestinal Endoscopy 47(5): 426-427, 1998

Acute, bleeding stomach ulcer after gastrectomy due to bleeding peptic ulcer. Polski Tygodnik Lekarski 21(51): 1973-1974, 1966

Assessment of left ventricular function and prognosis in survivors of acute myocardial infarction using Doppler ultrasound: a comparison with radionuclide ventriculography. British Journal of Clinical Practice 41(10): 963-966, 1987

Doppler ultrasound study of breast tumors using color Doppler ultrasound, duplex ultrasound and the CW Doppler ultrasound. Zentralblatt für Gynakologie 114(5): 249-253, 1992

Endoscopic Doppler ultrasound versus endoscopic stigmata-directed management of acute peptic ulcer hemorrhage: a multimodel cost analysis. Digestive Diseases and Sciences 52(1): 149-160, 2006

Contrast-enhanced ultrasound in combination with color Doppler ultrasound can improve the diagnostic performance of focal nodular hyperplasia and hepatocellular adenoma. Ultrasound in Medicine & Biology 41(4): 944-951, 2015

Is Doppler investigation useful in ulcer bleeding?. Current Gastroenterology Reports 7(6): 427-428, 2005

Relationship of first-trimester subchorionic bleeding detected by color Doppler ultrasound to subchorionic fluid, clinical bleeding, and pregnancy outcome. Obstetrics and Gynecology 80(3 Pt 1): 415-420, 1992