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Esophageal Non-variceal Hemorrhage:A Retrospective Analysis of 175 Cases / 胃肠病学
Chinese Journal of Gastroenterology ; (12): 553-555, 2017.
Article in Chinese | WPRIM | ID: wpr-607890
ABSTRACT

Background:

Esophageal non-variceal hemorrhage is relatively uncommon in clinical,however,it can be life-threatening in severe cases. Thus,retrospective analysis of esophageal non-variceal hemorrhage could provide important evidence for its diagnosis and treatment.

Aims:

To analyze the clinical characteristics of esophageal non-variceal hemorrhage.

Methods:

A total of 175 cases of esophageal non-variceal hemorrhage from January 2006 to December 2016 at Daping Hospital were enrolled. Gender,age,cause of bleeding,location of bleeding,season of onset,treatment and prognosis were retrospectively analyzed.

Results:

The ratio of male to female was 3. 5 1 in 175 patients with esophageal non-variceal hemorrhage,73. 1% of patients were middle-aged and elderly. The main cause of bleeding of esophageal non-variceal hemorrhage were cardiac mucosal laceration syndrome (46. 9%),esophageal cancer (23. 4%),esophageal ulcer (12. 6%)and esophageal foreign body (12. 0%). The most common site of bleeding was lower esophagus (70. 9%). Fifty-one patients accepted endoscopic treatment or surgery. After treatment,142 patients (81. 1%)were cured or improved,and death was occurred in 27 patients (15. 4%).

Conclusions:

The incidence of esophageal non-variceal hemorrhage is higher in male than in female,and is commonly seen in middle-aged and elderly patients. The most common cause of bleeding of esophageal non-variceal hemorrhage is cardiac mucosal laceration syndrome,and the most common site of bleeding is lower esophagus. Medicine combined with endoscopic treatment is effective for most of the patients.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Prognostic study Language: Chinese Journal: Chinese Journal of Gastroenterology Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Prognostic study Language: Chinese Journal: Chinese Journal of Gastroenterology Year: 2017 Type: Article