Peptic ulcer disease is frequently complicated by hemorrhage. Specific clinical and endoscopic risk factors define a subset of patients with ulcer bleeding at risk for continued or recurrent hemorrhage and increased mortality. The management options for bleeding ulcer include pharmacologic therapy, therapeutic endoscopy, surgery, and arteriographic embolization. Of these, interventional endoscopy seems to offer the most promise in reducing the risk of rebleeding, need for surgery, and overall mortality rate.
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