Characteristics of patients with bleeding peptic ulcer requiring emergency endoscopy and aggressive treatment

C. L. Perng, H. J. Lin, C. J. Chen, F. Y. Lee, S. D. Lee, C. H. Lee

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objectives: Patients with an ulcer and active bleeding or a nonbleeding, visible vessel are high-risk for further bleeding and should receive aggressive therapy. In this study, we tried to identify clinical parameters that predict these high-risk groups. Methods: Over a 7-month period, 16 clinical parameters were analyzed prospectively in 316 patients with bleeding peptic ulcer. A multivariate analysis was used to find the independent predictors for the high-risk patients. Results: A total of 114 patients (36%) was found to have a spurting hemorrhage (eight patients), oozing hemorrhage (27 patients), or a nonbleeding visible vessel (79 patients). Using an univariate analysis, a statistically significant predictor was the appearance of coffee ground fluid or blood from the nasogastric tube. This predictor also emerged as an independent factor (odds ratio, 0.4333; 95% confidence interval, 0.263-0.714). Conclusions: Patients with bleeding peptic ulcer who have coffee ground fluid or blood from the nasogastric tube should receive an emergency endoscopy and aggressive treatment.

Original languageEnglish
Pages (from-to)1811-1814
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume89
Issue number10
Publication statusPublished - 1994
Externally publishedYes

Fingerprint

Peptic Ulcer
Endoscopy
Emergencies
Hemorrhage
Coffee
Therapeutics
Ulcer
Multivariate Analysis
Odds Ratio
Confidence Intervals

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Characteristics of patients with bleeding peptic ulcer requiring emergency endoscopy and aggressive treatment. / Perng, C. L.; Lin, H. J.; Chen, C. J.; Lee, F. Y.; Lee, S. D.; Lee, C. H.

In: American Journal of Gastroenterology, Vol. 89, No. 10, 1994, p. 1811-1814.

Research output: Contribution to journalArticle

Perng, C. L. ; Lin, H. J. ; Chen, C. J. ; Lee, F. Y. ; Lee, S. D. ; Lee, C. H. / Characteristics of patients with bleeding peptic ulcer requiring emergency endoscopy and aggressive treatment. In: American Journal of Gastroenterology. 1994 ; Vol. 89, No. 10. pp. 1811-1814.
@article{6e778982088b427f9e4062463ae3ccb0,
title = "Characteristics of patients with bleeding peptic ulcer requiring emergency endoscopy and aggressive treatment",
abstract = "Objectives: Patients with an ulcer and active bleeding or a nonbleeding, visible vessel are high-risk for further bleeding and should receive aggressive therapy. In this study, we tried to identify clinical parameters that predict these high-risk groups. Methods: Over a 7-month period, 16 clinical parameters were analyzed prospectively in 316 patients with bleeding peptic ulcer. A multivariate analysis was used to find the independent predictors for the high-risk patients. Results: A total of 114 patients (36{\%}) was found to have a spurting hemorrhage (eight patients), oozing hemorrhage (27 patients), or a nonbleeding visible vessel (79 patients). Using an univariate analysis, a statistically significant predictor was the appearance of coffee ground fluid or blood from the nasogastric tube. This predictor also emerged as an independent factor (odds ratio, 0.4333; 95{\%} confidence interval, 0.263-0.714). Conclusions: Patients with bleeding peptic ulcer who have coffee ground fluid or blood from the nasogastric tube should receive an emergency endoscopy and aggressive treatment.",
author = "Perng, {C. L.} and Lin, {H. J.} and Chen, {C. J.} and Lee, {F. Y.} and Lee, {S. D.} and Lee, {C. H.}",
year = "1994",
language = "English",
volume = "89",
pages = "1811--1814",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "10",

}

TY - JOUR

T1 - Characteristics of patients with bleeding peptic ulcer requiring emergency endoscopy and aggressive treatment

AU - Perng, C. L.

AU - Lin, H. J.

AU - Chen, C. J.

AU - Lee, F. Y.

AU - Lee, S. D.

AU - Lee, C. H.

PY - 1994

Y1 - 1994

N2 - Objectives: Patients with an ulcer and active bleeding or a nonbleeding, visible vessel are high-risk for further bleeding and should receive aggressive therapy. In this study, we tried to identify clinical parameters that predict these high-risk groups. Methods: Over a 7-month period, 16 clinical parameters were analyzed prospectively in 316 patients with bleeding peptic ulcer. A multivariate analysis was used to find the independent predictors for the high-risk patients. Results: A total of 114 patients (36%) was found to have a spurting hemorrhage (eight patients), oozing hemorrhage (27 patients), or a nonbleeding visible vessel (79 patients). Using an univariate analysis, a statistically significant predictor was the appearance of coffee ground fluid or blood from the nasogastric tube. This predictor also emerged as an independent factor (odds ratio, 0.4333; 95% confidence interval, 0.263-0.714). Conclusions: Patients with bleeding peptic ulcer who have coffee ground fluid or blood from the nasogastric tube should receive an emergency endoscopy and aggressive treatment.

AB - Objectives: Patients with an ulcer and active bleeding or a nonbleeding, visible vessel are high-risk for further bleeding and should receive aggressive therapy. In this study, we tried to identify clinical parameters that predict these high-risk groups. Methods: Over a 7-month period, 16 clinical parameters were analyzed prospectively in 316 patients with bleeding peptic ulcer. A multivariate analysis was used to find the independent predictors for the high-risk patients. Results: A total of 114 patients (36%) was found to have a spurting hemorrhage (eight patients), oozing hemorrhage (27 patients), or a nonbleeding visible vessel (79 patients). Using an univariate analysis, a statistically significant predictor was the appearance of coffee ground fluid or blood from the nasogastric tube. This predictor also emerged as an independent factor (odds ratio, 0.4333; 95% confidence interval, 0.263-0.714). Conclusions: Patients with bleeding peptic ulcer who have coffee ground fluid or blood from the nasogastric tube should receive an emergency endoscopy and aggressive treatment.

UR - http://www.scopus.com/inward/record.url?scp=0027949203&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027949203&partnerID=8YFLogxK

M3 - Article

C2 - 7942673

AN - SCOPUS:0027949203

VL - 89

SP - 1811

EP - 1814

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 10

ER -