Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Examination of Upper Gastrointestinal Bleeding Combined with Serious Basal Disease
Yoshihiro InoueMasakatsu IwaiYasuhisa FujinoTakashi IrinodaChihiro TohnoHiroaki OhmoriKazuyoshi Saitoh
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2001 Volume 21 Issue 3 Pages 507-513


Upper gastrointestinal bleeding seen from 1988 by 1999 involved 1, 271 examples, 237 (18.6%) of which were complicated by severe basal disease. Of the 237, 79 were gastric ulcers, 52 juodenal ulcers, 42 esophageal hemorrhages, 39 acute gastrie mucosal lesion (AGML), and 16 anastomotic hemorrhages. Basal disease included 57 marignant tumors, 50 single-organ disorders, 34 cerebrovascular disorders, and 36 flame and ulcers within esophageal hemorrhage. A gastric tube was required in 25 patients. Hemorrhaging from the thoracic aorta wasseen in 5 patients, anyway died. Eight patients had undergone surgery for cancer of the pancreas, gallbladder, or liver and 16 suffered anastomotic hemorrhaging. An anticoagulant was used in 18 of 26 patients with ischemic heart disease and cerebral infarction. In endoscope hemostasis 1 month were 43 (18.1%) died. In 5 of 43 patients with, gastrointestinal bleeding led directly to death within 43 examples.

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