TY - JOUR
T1 - Characteristics of Patients with Bleeding Peptic Ulcer Requiring Emergency Endoscopy and Aggressive Treatment
AU - Perng, Chin‐Lin ‐L
AU - Lin, Hwai‐Jeng ‐J
AU - Chen, Chun‐Jung ‐J
AU - Lee, Fa‐Yauh ‐Y
AU - Lee, Shou‐Dong ‐D
AU - Lee, Chen‐Hsen ‐H
PY - 1994/10
Y1 - 1994/10
N2 - 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‐nionth 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. Resutts: 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 signiHcant 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). Conctusions: Patients with bleeding peptic ulcer who have coffee ground fluid or blood from the nasogastric tube should receive an emergency endoscopy and aggressive treatment.
AB - 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‐nionth 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. Resutts: 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 signiHcant 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). Conctusions: Patients with bleeding peptic ulcer who have coffee ground fluid or blood from the nasogastric tube should receive an emergency endoscopy and aggressive treatment.
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U2 - 10.1111/j.1572-0241.1994.tb07698.x
DO - 10.1111/j.1572-0241.1994.tb07698.x
M3 - Article
C2 - 7942673
AN - SCOPUS:0027949203
SN - 0002-9270
VL - 89
SP - 1811
EP - 1815
JO - The American Journal of Gastroenterology
JF - The American Journal of Gastroenterology
IS - 10
ER -