• bleeding peptic ulcer
• endoscopy

We read with interest the paper on prediction of therapeutic failure after adrenaline injection plus heater probe treatment in patients with bleeding peptic ulcer by Wong and colleagues (

). Even though the authors qualified their generalisation, the statement that “elderly patients often succumb to their concomitant illnesses rather than the bleeding itself” needs to be challenged as being unnecessarily defeatist, given the fact that timeliness of surgical intervention¹ and, as shown below, postoperative management at the intensive care level, may be more crucial …