Jensen et al evaluated peptic ulcers using a Doppler endoscopic probe (DEB). Detection of arterial blood flow using the probe is associated with high risk bleeding. The authors are from Ronald Reagan UCLA Medical Center, West Los Angeles Veterans Administration Medical Center and the University of California in Los Angeles.
Patient selection: bleeding peptic ulcer
High risk features for peptic ulcer bleeding:
(1) Forrest classification
(2) arterial blood flow by DEP at baseline
Forrest Classification
Risk
active arterial bleeding (IA)
high
nonbleeding visible vessel (IIA)
high
adherent clot (IIB)
moderate-to-high
oozing (IB)
moderate
flat spot (IIC)
moderate
clean base (III)
low
Forrest IA, IIA, and IIB were considered the major stigmata of recent hemorrhage (SRH).
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