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[Upper gastrointestinal bleeding - Review of our ten years results].
Zentralbl Chir. 2001 Oct; 126(10):772-6.ZC

Abstract

Acute upper gastrointestinal bleeding (UGIB) is a common reason for emergency hospitalisation. Early upper gastrointestinal endoscopy is the corner stone of management; the alternative option for achieving primary hemostasis is emergency surgery. The aim of this study was to analyse the frequency of UGIB in the last 10 years and to present our surgical results. We observed 5 955 bleeding patients (68.4 % male and 31.6 % female) with a mean age of 57.7 inverted question mark 15.8 years. The most frequent causes of bleeding were gastric and duodenal ulcers (61 %) followed by gastroduodenal erosions (15.4 %) and varicous veins (5.7 %). Indications for emergency surgery were massive UGIB or rebleeding after active endoscopic treatment. On operation, gastric and duodenal ulcers were responsible for massive UGIB in 86.4 % cases. Overall hospital mortality rate during 10 years was 13.2 % and depended on age and concomitant diseases. In total 5.9 % of operated patients were rebleeding. Those with rebleeding underwent a second operation and showed a statistically higher mortality rate (35.7 % vs 11.8 %) compared to those surgical patients without rebleeding; p < 0.001. The mortality rate after vagotomy and pyloroplasty was 13.2 % (14/106) and did not differ significantly from that after gastric resection (15.2 %; 9/59).

Authors+Show Affiliations

Departement of Digestive Surgery, Surgery Clinic, University Hospital Rijeka, Croatia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

11727185

Citation

Depolo, A, et al. "[Upper Gastrointestinal Bleeding - Review of Our Ten Years Results]." Zentralblatt Fur Chirurgie, vol. 126, no. 10, 2001, pp. 772-6.
Depolo A, Dobrila-Dintinjana R, Uravi M, et al. [Upper gastrointestinal bleeding - Review of our ten years results]. Zentralbl Chir. 2001;126(10):772-6.
Depolo, A., Dobrila-Dintinjana, R., Uravi, M., Grbas, H., & Rubini, M. (2001). [Upper gastrointestinal bleeding - Review of our ten years results]. Zentralblatt Fur Chirurgie, 126(10), 772-6.
Depolo A, et al. [Upper Gastrointestinal Bleeding - Review of Our Ten Years Results]. Zentralbl Chir. 2001;126(10):772-6. PubMed PMID: 11727185.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Upper gastrointestinal bleeding - Review of our ten years results]. AU - Depolo,A, AU - Dobrila-Dintinjana,R, AU - Uravi,M, AU - Grbas,H, AU - Rubini,M, PY - 2001/12/1/pubmed PY - 2002/1/5/medline PY - 2001/12/1/entrez SP - 772 EP - 6 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 126 IS - 10 N2 - Acute upper gastrointestinal bleeding (UGIB) is a common reason for emergency hospitalisation. Early upper gastrointestinal endoscopy is the corner stone of management; the alternative option for achieving primary hemostasis is emergency surgery. The aim of this study was to analyse the frequency of UGIB in the last 10 years and to present our surgical results. We observed 5 955 bleeding patients (68.4 % male and 31.6 % female) with a mean age of 57.7 inverted question mark 15.8 years. The most frequent causes of bleeding were gastric and duodenal ulcers (61 %) followed by gastroduodenal erosions (15.4 %) and varicous veins (5.7 %). Indications for emergency surgery were massive UGIB or rebleeding after active endoscopic treatment. On operation, gastric and duodenal ulcers were responsible for massive UGIB in 86.4 % cases. Overall hospital mortality rate during 10 years was 13.2 % and depended on age and concomitant diseases. In total 5.9 % of operated patients were rebleeding. Those with rebleeding underwent a second operation and showed a statistically higher mortality rate (35.7 % vs 11.8 %) compared to those surgical patients without rebleeding; p < 0.001. The mortality rate after vagotomy and pyloroplasty was 13.2 % (14/106) and did not differ significantly from that after gastric resection (15.2 %; 9/59). SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/11727185/[Upper_gastrointestinal_bleeding___Review_of_our_ten_years_results]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2001-18265 DB - PRIME DP - Unbound Medicine ER -