Ajaz Ahmad Telwani
Tanzania
Research Article
Endoscopic vs. Medical Therapy for Bleeding Peptic Ulcers with Adherent Clot: A Randomized Comparative Trial
Author(s): Ajaz Ahmad Telwani, Azhar Hafiz Baba, Mohammed Yasin Mujoo, Younis Ashraf and Khalid RasheedAjaz Ahmad Telwani, Azhar Hafiz Baba, Mohammed Yasin Mujoo, Younis Ashraf and Khalid Rasheed
Upper gastrointestinal bleeding is the most common and potentially life threatening emergency. Despite great advances in the field of medicine, the optimal management of bleeding peptic ulcer with adherent clot on endoscopy is still controversial. The aim of this study is to compare the combined endoscopic and medical therapy with medical therapy alone for bleeding peptic ulcer with adherent clot (Forrest type IIB). During two-year study period, around 342 patients presented to our Tertiary care hospital with acute upper gastrointestinal bleeding. Out of these, 81 patients were noted to have adherent clot (Forrest type IIB) during endoscopy and were included in study. 40 patients received combined endoscopic and medical treatment, whereas 41 patients received medical treatment only. The base line characteristics of patients in two groups were comparable and statistically significant. .. View More»
