This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Prophylactic angiographic embolisation after endoscopic control of bleeding to high-risk peptic ulcers: a randomised controlled trial. Gut 2019; 68: 796-803

Published: 20th March 2020

Authors: Lau JYW, Pittayanon R, Wong K-T, Pinjaroen N, Chiu PWY, Rerknimitr R et al.

Conclusion

After the bleeding had been stopped by endoscopy, 241 patients were randomly allocated to additional angiographic embolization. The rate of rebleeding within 30 days was similar: hazard ratio 1.14, 95 per cent c.i.0.53 to 2.46. Embolisation only reduced rebleeding in patients with ulcers >15mm in diameter.

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