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Angiographic Embolisation to Reduce Recurrent Bleeding




As mortality in patients with further bleeding increases by approximately threefold, the multicenter study of “Prophylactic angiographic embolisation after endoscopic control of bleeding to high-risk peptic ulcers: a randomised controlled trial” aimed to test the hypothesis that angiographic embolisation may reduce recurrent bleeding. Though findings did not show improved outcomes in most patients, the added procedure may be considered to forestall recurrent bleeding for a subgroup of patients with larger ulcers, especially in those with shock (Gut. 2018 May 25. pii: gutjnl-2018-316074. doi: 10.1136/gutjnl-2018-316074. [Epub ahead of print]).
Anyone interested in future collaboration in this field of research is welcome to contact our key investigator, Prof James Lau, Chairman of our Department of Surgery. Prof Lau’s research interest is in peptic ulcer bleeding and endoscopic therapy, and his studies have been the basis of international recommendations in the management of patients with upper gastrointestinal bleeding.
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