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Titolo:
AN 8 YEAR EXPERIENCE WITH UPPER GASTROINTESTINAL-BLEEDING - DIAGNOSIS, TREATMENT AND PROGNOSIS
Autore:
ARBER N; TIOMNY E; HALLAK A; SANTO M; MOSHKOWITZ M; KONIKOFF FM; SHUMLA V; ROZEN P; GILAT T; RATTAN J;
Indirizzi:
ICHILOV HOSP,DEPT GASTROENTEROL,6 WEIZMAN ST IL-64239 TEL AVIV ISRAEL TEL AVIV UNIV,SACKLER SCH MED,TEL AVIV SURASKY MED CTR,DEPT GASTROENTEROL IL-69978 TEL AVIV ISRAEL
Titolo Testata:
Journal of medicine
fascicolo: 5, volume: 25, anno: 1994,
pagine: 261 - 269
SICI:
0025-7850(1994)25:5<261:A8YEWU>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Keywords:
ENDOSCOPY; HEMATEMESIS; MELENA; MORTALITY; UPPER GASTROINTESTINAL BLEEDING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
N. Arber et al., "AN 8 YEAR EXPERIENCE WITH UPPER GASTROINTESTINAL-BLEEDING - DIAGNOSIS, TREATMENT AND PROGNOSIS", Journal of medicine, 25(5), 1994, pp. 261-269

Abstract

Bleeding from the upper gastrointestinal tract is one of the most common medical emergencies. Admission of patients to a specialized care unit may reduce morbidity and mortality. All patients admitted to the Tel Aviv Medical Center, between January 1, 1983 and December 31, 1990 with acute upper gastrointestinal bleeding, or those who bled while inthe hospital, were seen and assessed by a senior member of the gastrointestinal service. Endoscopy was performed within 24 hr of admission. A total of 1110 endoscopies were performed. Duodenal ulcer was the main source of bleeding (40.0%). Injection of a vasoconstrictor was usedfor very small blood vessels. Thermal methods were used for small or medium sized vessels, or for oozing from a margin ulcer; both with equal rates of success. 153 (13.8%) surgical procedures were performed. Three (0.37) patients had endoscopic cardiovascular complications; one of them died. The in-hospital mortality was 5.9%. Increasing age, other medical problems, rebleeding and an admission hemoglobin of 8 g/dL or less, were associated with increased mortality. Our policy of early clinical and endoscopic assessment, and rapid surgical intervention inthose at high risk, markedly improved survival.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 00:10:58