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- W2163063599 abstract "Adherent clots (Clots) are the stigmata of recent hemorrhage (SRH) on urgent endoscopy in about 15% of peptic ulcer bleeds (PUB's). Based upon their respective results with Clots in randomized controlled trials (RCT), some experts in Asia & authors of guidelines recommend treatment with high dose PPI's alone because of low rebleeding rates, whereas other US experts usually recommend PPI's & endoscopic treatment - epinephrine injection, cold guillotining off the clot & either hemoclipping or multipolar probe coagulation (MPEC)- ENDORX - because of high rebleed rates on PPI's alone. Our purposes are to report Doppler endoscopic probe (DEP) studies of underlying arterial blood flow for risk stratification of PUB rebleeding and also to report initial results for Clots from a new RCT of DEP guided treatment vs. control- visually guided ENDORX. Our hypothesis is that DEP would improve risk stratification for rebleeding and provide a new guide to the underlying artery for definitive hemostasis of PUB's with adherent clots." @default.
- W2163063599 created "2016-06-24" @default.
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- W2163063599 date "2015-05-01" @default.
- W2163063599 modified "2023-09-25" @default.
- W2163063599 title "469 Reassessment of Ulcer Bleeds With Adherent Clots Using Arterial Blood Flow As a Guide to Definitive Hemostasis" @default.
- W2163063599 doi "https://doi.org/10.1016/j.gie.2015.03.1244" @default.
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