Endoscopy for upper gastrointestinal bleeding at emergency unit.

C. F. Chang, C. Y. Chan, H. J. Lin, S. C. Hu, C. H. Lee, S. D. Lee

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

From November 1, 1990 to January 31, 1991, 381 patients visited our emergency unit with the chief complaints of hematemesis (n = 153) and melena (n = 228). Of these patients, 298 (78.2%) received UGI endoscopy at the emergency unit, 29 (7.6%) received examination after they were admitted to wards, 3 (0.8%) received endoscopy at outpatient clinic and 51 (13.4%) did not have endoscopy. The percentages of endoscopic diagnoses in 330 patients who had UGI endoscopy were gastric ulcer (GU) 33.6%, duodenal ulcer (DU) 32.7%, esophageal varices (EV) 17.0%, and others 15.5%. Negative findings were noted in 3 cases and no definite bleeding source was found in 1 patient who had blood retention in stomach. The diagnostic rate of endoscopy was 98.8%. Of the 56 patients with EV, 45 (80.4%) had hematemesis; in contrast, 85 of the 108 DU patients (78.8%) complained of melena only. Of the 219 patients with bleeding GU/DU, 64 (29.2%) had endoscopic therapies and 7 (3.2%) needed operation. Sixty-four (29.2%) of them received UGI endoscopy within 6 hours after arrival. They had significantly higher frequency of stigmata of recent hemorrhage (SRH) and more endoscopic therapies than the remaining patients. The overall mortality rate in our patients was 6.0%; the mortality rate in patients with EV was much higher than that of the patients with GU/DU (19.6% vs. 1.8%, P less than 0.001). Of the 23 expired cases, only 11 died of hypovolemic shock. The remaining 12 patients died of deterioration or complications of their underlying diseases.(ABSTRACT TRUNCATED AT 250 WORDS)

Original languageEnglish
Pages (from-to)217-222
Number of pages6
JournalChinese Medical Journal (Taipei)
Volume49
Issue number4
Publication statusPublished - Apr 1992
Externally publishedYes

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Gastrointestinal Endoscopy
Hospital Emergency Service
Hemorrhage
Endoscopy
Duodenal Ulcer
Esophageal and Gastric Varices
Stomach Ulcer
Melena
Hematemesis
Christianity
Mortality
Ambulatory Care Facilities
Shock
Stomach

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chang, C. F., Chan, C. Y., Lin, H. J., Hu, S. C., Lee, C. H., & Lee, S. D. (1992). Endoscopy for upper gastrointestinal bleeding at emergency unit. Chinese Medical Journal (Taipei), 49(4), 217-222.

Endoscopy for upper gastrointestinal bleeding at emergency unit. / Chang, C. F.; Chan, C. Y.; Lin, H. J.; Hu, S. C.; Lee, C. H.; Lee, S. D.

In: Chinese Medical Journal (Taipei), Vol. 49, No. 4, 04.1992, p. 217-222.

Research output: Contribution to journalArticle

Chang, CF, Chan, CY, Lin, HJ, Hu, SC, Lee, CH & Lee, SD 1992, 'Endoscopy for upper gastrointestinal bleeding at emergency unit.', Chinese Medical Journal (Taipei), vol. 49, no. 4, pp. 217-222.
Chang, C. F. ; Chan, C. Y. ; Lin, H. J. ; Hu, S. C. ; Lee, C. H. ; Lee, S. D. / Endoscopy for upper gastrointestinal bleeding at emergency unit. In: Chinese Medical Journal (Taipei). 1992 ; Vol. 49, No. 4. pp. 217-222.
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abstract = "From November 1, 1990 to January 31, 1991, 381 patients visited our emergency unit with the chief complaints of hematemesis (n = 153) and melena (n = 228). Of these patients, 298 (78.2{\%}) received UGI endoscopy at the emergency unit, 29 (7.6{\%}) received examination after they were admitted to wards, 3 (0.8{\%}) received endoscopy at outpatient clinic and 51 (13.4{\%}) did not have endoscopy. The percentages of endoscopic diagnoses in 330 patients who had UGI endoscopy were gastric ulcer (GU) 33.6{\%}, duodenal ulcer (DU) 32.7{\%}, esophageal varices (EV) 17.0{\%}, and others 15.5{\%}. Negative findings were noted in 3 cases and no definite bleeding source was found in 1 patient who had blood retention in stomach. The diagnostic rate of endoscopy was 98.8{\%}. Of the 56 patients with EV, 45 (80.4{\%}) had hematemesis; in contrast, 85 of the 108 DU patients (78.8{\%}) complained of melena only. Of the 219 patients with bleeding GU/DU, 64 (29.2{\%}) had endoscopic therapies and 7 (3.2{\%}) needed operation. Sixty-four (29.2{\%}) of them received UGI endoscopy within 6 hours after arrival. They had significantly higher frequency of stigmata of recent hemorrhage (SRH) and more endoscopic therapies than the remaining patients. The overall mortality rate in our patients was 6.0{\%}; the mortality rate in patients with EV was much higher than that of the patients with GU/DU (19.6{\%} vs. 1.8{\%}, P less than 0.001). Of the 23 expired cases, only 11 died of hypovolemic shock. The remaining 12 patients died of deterioration or complications of their underlying diseases.(ABSTRACT TRUNCATED AT 250 WORDS)",
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