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Rate and Predictive Factors of Rebleeding with Obscure-Overt Gastrointestinal Bleeding / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 19-24, 2004.
Artículo en Inglés | WPRIM | ID: wpr-185700
ABSTRACT
BACKGROUND/

AIMS:

Little information is available on the rate and predictive factors of rebleeding of unknown cause, which is very important in deciding further investigations on obscure-overt gastrointestinal bleeding. The aim of this study was to evaluate the rebleeding rate and related factors in obscure-overt gastrointestinal bleeding patients who revealed normal gastroscopic and colonoscopic findings.

METHODS:

A total of 69 patients with negative first-line gastroscopy and colonoscopy were enrolled in this study as obscure-overt gastrointestinal bleeding cases. The relationships between rebleeding and clinical characteristics were analyzed retrospectively.

RESULTS:

The causes of obscure-overt gastrointestinal bleeding were confirmed in 30 cases among the 69 cases. Small bowel tumors (14 cases) were the most common cause, followed by vascular lesions (6 cases). The mean follow-up period was 28 months and rebleeding was noticed in 19 patients (27.5%). Among these rebleeding patients, 14 cases (73.7%) occurred within 6 months. The past experience of previous bleeding was significantly related with rebleeding (p=0.0009).

CONCLUSIONS:

Close observation and detailed investigations are needed for obscure-overt gastrointestinal bleeding patients with bleeding history, especially during 6 months follow-up.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Recurrencia / Factores de Riesgo / Angiodisplasia / Neoplasias Gastrointestinales / Hemorragia Gastrointestinal / Enfermedades Intestinales Tipo de estudio: Estudio de etiología / Estudio pronóstico / Factores de riesgo Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: The Korean Journal of Gastroenterology Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Recurrencia / Factores de Riesgo / Angiodisplasia / Neoplasias Gastrointestinales / Hemorragia Gastrointestinal / Enfermedades Intestinales Tipo de estudio: Estudio de etiología / Estudio pronóstico / Factores de riesgo Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: The Korean Journal of Gastroenterology Año: 2004 Tipo del documento: Artículo