Endoscopic treatments are primary, non-surgical options for complicated gastric ulcers in Germany. Advanced tools like Over-the-Scope Clips (OTSC) now repair small perforations without open surgery. Specialist gastroenterologists also use injection therapy, mechanical clipping, and thermal coagulation to stop active bleeding with high success rates.
- Bleeding control: Adrenaline injections and heater probes achieve 90% success in stopping active bleeding.
- Perforation repair: Specialized OTSC `bear claw` clips seal small holes in the stomach wall.
- Obstruction management: Endoscopic balloon dilation stretches scarred tissue to restore normal food passage.
- Specialist expertise: Dr. Siegbert Rossol in Frankfurt has over 30+ years of interventional experience.
Bookimed Expert Insight: While many believe surgery is inevitable for complications, German centers like Nordwest Clinic and Medical Center in Solingen prioritize interventional sonography and endoscopy first. Data shows these high-volume clinics serve over 60,000 patients annually. They often use Olympus equipment to perform complex OTSC seals, which can prevent the need for more invasive laparotomies in 90% of eligible cases.
Patient Consensus: Patients emphasize that acting fast on symptoms like black stools is vital. They note that getting an immediate endoscopy at a high-volume center often prevents the need for major surgery.