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

研究成果: 雜誌貢獻文章同行評審

33 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)1811-1814
頁數4
期刊American Journal of Gastroenterology
89
發行號10
出版狀態已發佈 - 1994
對外發佈

ASJC Scopus subject areas

  • 消化內科

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