PMID: 6972198May 1, 1981Paper

Endoscopic evaluation of 125 cases of upper gastrointestinal bleeding

Annals of Surgery
W A WebbC D Haynes

Abstract

The fiberoptic panendoscope has been shown to be superior to the UGI series in diagnosing the site(s) of upper gastrointestinal bleeding (UGIB). Recent data has shown that gastritis has replaced peptic ulcer disease (PUD) as the leading cause of UGIB since the diagnosis can now be made with the endoscope. Our clinical experience differs from this. One hundred twenty five cases of UGIB from December 1975 to December 1978 were reviewed. The patients ranged in age from 11 to 91 years. There were 83 males and 42 females included in the study. Twenty-four per cent of the patients were actively bleeding at the time of endoscopic examination, and 62% received two or more units of blood. Endoscopic examination was technically successful in all patients, and there were no deaths or complications. One hundred twenty three lesions were found in 117 patients for a diagnostic accuracy of 93.9%. In eight patients, no bleeding site was found, resulting in a failure rate of 6.1%. PUD accounted for 74.9% of the bleeding sites, while gastritis accounted for only 0.8%. Mallory-Weiss tears of the esophagus accounted for 9.8% and esophageal varices for 4.9%. Thirty-five per cent of the patients had associated lesions, with gastritis and esophagitis...Continue Reading

Citations

Nov 7, 2008·European Radiology·Hyun Joo LeeKyu-Bo Sung
Oct 12, 2012·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Kang Hun KohDae Ghon Kim
Nov 1, 1983·Gastrointestinal Endoscopy·K ShivshankerR S Nelson
Jun 1, 1993·The Australian and New Zealand Journal of Surgery·J G Fox, P S Hunt
Jul 30, 2002·Gastrointestinal Endoscopy·Benoit CoffinUNKNOWN Groupe des endoscopistes de garde á l'AP-HP
Jun 12, 2013·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Daniel E Forman, Richert E Goyette
May 1, 1990·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K J PaquetJ F Kalk
Dec 31, 2015·World Journal of Gastroenterology : WJG·Lei WangPing Dong
Oct 1, 1987·Journal of Surgical Oncology·R Moreno-OteroJ M Pajares
Oct 1, 1991·Scandinavian Journal of Gastroenterology·J MäkeläM I Kairaluoma

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