SUMMARY
The aim of this study was to define factors associated with
failed endoscopic therapy in patients with active (spurting
or oozing) upper gastrointestinal bleeding. We evaluated
clinical and endoscopic parameters related to failure of
injection hemostasis in 286 peptic ulcer patients with either
active spurting or oozing bleeding. Endoscopic injection
hemostasis was permanently successful in 218 (76.2%) and
failed in 68 patients (23.8%) who needed surgical
hemostasis. The overall mortality was 4.9 % (fourteen
patients). In univariate analysis, therapeutic failure was
significantly related to the presence of: 1) shock on
admission (p
(EN)