Studies on Therapeutic Results for the Postoperative Hemorrhagic Acute Gastric Mucosal Lesions

Compared with the Other Hemorrhagic Acute Gastric Mucosal Lesions

Abstract

Hemorrhagic acute gastric mucosal lesions (AGML) were classified as postoperative hemorrhagic AGML (postoperative AGML) and other hemorrhagic AGML (other AGML), and its therapeutic results was studied. In postoperative AGML, the rates of the presence of exposed vessels and the rate of going into shock were higher than in the other AGML. The rate of hemostasis, rebleeding and mortality for postoperative AGML was, however, no significant difference compared with other AGML. That is, there was no difference in the intensity of stressor between these two groups. The result of operation was extremely poor, namely, the mortality of surgical therapy for postoperative AGML was 100%. Accordingly, it seems that conservative therapy consisting mainly of intermittent intravenous infusion of H₂ receptor antagonist or continuous intravenous infusion of secretion was most effective in treating postoperative hemorrhagic AGML.