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We read with great interest the article by Lau et al recently published in Gut and evaluating the role of prophylactic angiographic arterial embolisation performed after achieved endoscopic haemostasis in the management of patients with high-risk ulcer bleeding.1 We have several comments. First of all, we would like to congratulate the authors for their study which represents the largest multicentre randomised controlled trial to date reporting results of additional embolisation in selected high-risk patients with peptic ulcer bleeding. The authors’ hypothesis was that added angiographic embolisation performed within 12 hours from successful endoscopic therapy may reduce the rate of rebleeding in patients with bleeding from high-risk peptic ulcers. Unfortunately, the authors failed to demonstrate any statistically significant impact of added …
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Contributors Each author has participated sufficiently in the work to take public responsibility for the content. Conception and design: RL and MB. Drafting the article and revising it critically for important intellectual content: RL and MB. Final approval of the version to be published: RL and MB.
Competing interests None declared.
Patient consent Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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