Endoscopic Doppler Reduced Rebleeding in Patients with Bleeding Peptic Ulcers

The use of endoscopic Doppler is supported in high-risk patients.

Current endoscopic treatments for bleeding peptic ulcers rely on visual endpoints to assess adequacy of therapy. The use of endoscopic Doppler ultrasound probes may allow for a more reliable assessment of therapeutic accuracy with less peptic ulcer rebleeding.

In a retrospective, single-center study, investigators compared outcomes using endoscopic Doppler (ED) versus standard non-Doppler (ND) therapy in 60 patients with bleeding from peptic ulcers who were at high risk for rebleeding. Thirty-five patients were in the ED group and 25 in the ND group. One experienced endoscopist performed all procedures. All patients received injection therapy with dilute epinephrine and then fibrin glue. Doppler probes were used to interrogate the ulcer rim,…

Reviewing Author

John R. Saltzman, MD

Disclosures

Consultant/Advisory BoardIterative Scopes

Editorial BoardsGastrointestinal Endoscopy; UpToDate

Leadership Positions in Professional SocietiesAmerican College of Gastroenterology (Trustee)

OtherVice President of Medical Affairs, 1Globe Health Institute