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Arterial bleeding of duodenal ulcer: endoscopic clipping

Gf Donatelli, MD S Perretta, MD, PhD B Dallemagne, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Nov 2011;11(11). URL: http://websurg.com/doi/vd01en3479

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  • 2011-11-15
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Upper GI bleeding is a common medical emergency and is much more common in the elderly. The most common presenting signs are hematemesis (bright red or 'coffee ground') and melena. About 30% of patients with bleeding ulcers present with hematemesis, 20% with melena, and 50% with both. In this video, we show the case of a 77-year-old patient who was admitted to the cardiac surgery department. The patient had undergone a mitral valve replacement one week earlier and received prophylactic heparin. He presented an episode of melena associated with fresh red blood through per rectum.