What are the high-risk stigmata in bleeding peptic ulcer?

Updated: Apr 26, 2021
  • Author: BS Anand, MD; Chief Editor: Philip O Katz, MD, FACP, FACG  more...
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Answer

High-risk stigmata are the following:

  • Active hemorrhage (90% risk of rebleeding)

  • A visible vessel (50% risk of rebleeding)

  • A fresh overlying clot (30% risk of rebleeding)

Ulcers with such stigmata require endotherapy, while ulcers with a clean base need not be treated endoscopically. In the absence of these stigmata, patients can be discharged home on medical therapy within 48 hours


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