role of endoscopic therapy with combined adrenaline injection plus thermo - coagulation in the management of patients with bleeding peptic ulcer

The aim of this study was to evaluate the value of endoscopic treatment with combined adrenaline injection and thermo-coagulation in the treatment of the patients with bleeding peptic ulcer. This study was carried out in Sohag Teaching Hospital over the period extending from November 1999 through December 2002. During this study period, 42 patients were admitted with bleeding peptic ulcer. Of them, 36 patients required endoscopic treatment. The cases included 22 duodenal ulcer and 14 gastric ulcer. Initial hemostasis was successful in 30 patients and rebleeding occurred in 4 patients. The mortality rate was 11.1%