Subject(s)
Digestive System , Esophagus , Foreign Bodies , Oropharynx , Adolescent , Adult , Aged , Child , Child, Preschool , Endoscopy , Female , Foreign Bodies/therapy , Humans , Male , Middle AgedABSTRACT
The experience in upper G.I. tract hemorrhage accumulated during the first 30 months in the Emergency Hemorrhage Unit at the Hospital Posadas is here reported over a total of 428 endoscopies, we found 518 lesions. Ninety one (21%) presented with active bleeding, and 317 (76%) were considered as the probable cause of the bleeding. In 37 cases (8.6%) the site of bleeding was detected, but the diagnosis wasn't done. The most frequent lesions were erosive gastritis (21.2%), gastric ulcer (20%), erosive duodenitis (12.6%), duodenal ulcer (12.15%) and esophageal varices (12.12%) the diagnosis was normal 14.7% of the cases. One hundred and sixty one patients were admitted to the hospital; on 143 (88.82%) patients the original diagnosis was confirmed but it was modified in 18 patients (11.18%) by surgery or repeated endoscopy. During the last 20 months of the period the accuracy diagnostic of the endoscopy increased 95%. When compared with the first 10 months (76%) this fact shows, the importance of the experience acquired by the endoscopist. Most of the patients received medical treatment with a mortality of 9.02% and 25 patients received surgical treatment with a mortality of 28%.
Subject(s)
Emergencies , Endoscopy , Gastrointestinal Hemorrhage/diagnosis , Adolescent , Adult , Aged , Duodenitis/complications , Esophageal and Gastric Varices/complications , Female , Gastritis/complications , Gastrointestinal Hemorrhage/etiology , Humans , Male , Middle Aged , Peptic Ulcer/complicationsSubject(s)
Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Humans , Male , Female , Foreign Bodies , Digestive System , EndoscopySubject(s)
Child , Adolescent , Adult , Middle Aged , Aged , Humans , Emergencies , Endoscopy , Gastrointestinal Hemorrhage , Gastrointestinal Diseases , Peptic UlcerSubject(s)
Child, Preschool , Child , Adolescent , Adult , Middle Aged , Humans , Male , Female , Digestive System , Foreign Bodies , EndoscopySubject(s)
Child , Adolescent , Adult , Middle Aged , Humans , Emergencies , Endoscopy , Gastrointestinal Hemorrhage , Gastrointestinal Diseases , Peptic UlcerABSTRACT
The experience in upper G.I. tract hemorrhage accumulated during the first 30 months in the Emergency Hemorrhage Unit at the Hospital Posadas is here reported over a total of 428 endoscopies, we found 518 lesions. Ninety one (21
) presented with active bleeding, and 317 (76
) were considered as the probable cause of the bleeding. In 37 cases (8.6
) the site of bleeding was detected, but the diagnosis wasnt done. The most frequent lesions were erosive gastritis (21.2
), gastric ulcer (20
), erosive duodenitis (12.6
), duodenal ulcer (12.15
) and esophageal varices (12.12
) the diagnosis was normal 14.7
of the cases. One hundred and sixty one patients were admitted to the hospital; on 143 (88.82
) patients the original diagnosis was confirmed but it was modified in 18 patients (11.18
) by surgery or repeated endoscopy. During the last 20 months of the period the accuracy diagnostic of the endoscopy increased 95
. When compared with the first 10 months (76
) this fact shows, the importance of the experience acquired by the endoscopist. Most of the patients received medical treatment with a mortality of 9.02
and 25 patients received surgical treatment with a mortality of 28
.
