Abstract
Upper gastrointestinal emergent endoscopy was performed in 100 patients for the recent two years. All cases were examined with a panview type gastrointestinal endoscopy within 48 hours after hematemesis or melena appeared. The sources of upper gastrointestinal bleeding in these 100 cases were as follows; gastric ulcer (44), duodenal ulcer (19), esophago-gastric varices (11), Mallory-Weiss syndrome (11), stomal ulcer (2), hemorrhagic gastritis (2), esophagitis(2), gastric cancer(1), gastric polyp(1), hemoptysis(1), nasal bleeding(1), and unknown cases (5). Hemostasis was performed in 67 cases by conservative therapy and surgical operation was performed in 33 cases. Essential treatment was not performed in 4 died cases because of poor general conditions. After checking blood plessure, hematocrit value and ECG, this examination was performed during drip infusion to be safety of circular system. No complications were encountered. To confirm the source of bleeding at earlier stage, was useful to decide which way, that is conservative or surgical therapy in much better for the management.
