‘Ulcer-like projection’ in uncomplicated acute type B intramural haematoma: might we prevent or protect from an unexpected event?

Piffaretti, Gabriele; Bonardelli, Stefano

doi:10.1093/ejcts/ezab285

Cited by 1 publication

(1 citation statement)

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“…For acute nonvariceal upper gastrointestinal bleeding in the elderly, we should be vigilant with gastric cancer bleeding and pay attention to its identification, and repeated gastroscopy and biopsy can improve the positive rate of diagnosis, so as not to delay the best time for diagnosis and treatment [33,34]. With the development and popularization of endoscopic technology, the immediate hemostasis rate of endoscopic hemostasis can be as high as nearly 100%, which significantly reduces the surgical emergency operation rate, rebleeding rate, and total mortality rate [35].…”

Section: Discussionmentioning

confidence: 99%

A Cohort Study to Compare Effects between Ulcer- and Nonulcer-Related Nonvariceal Upper Gastrointestinal Bleeding

Nian

Wang

et al. 2022

Applied Bionics and Biomechanics

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Objective. The aim of this study was to better understand the characteristics and etiology of acute nonvariceal upper gastrointestinal bleeding (ANVUGIB) in recent years in this region and to provide evidence-based medical evidence. Methods. 100 patients with acute nonvariceal upper gastrointestinal bleeding (ANVUGIB) who met the clinical diagnostic criteria of ANVUGIB admitted to Suzhou First People’s Hospital from January 2017 to December 2021 were analyzed, as well as the age difference and change rule. According to age, 100 patients were divided into young (18-39 years), middle-aged (40-59 years), and elderly (60 years and above), and the differences in the three groups were compared. The etiology was confirmed by endoscopic examination and was recorded one by one in a well-designed ANVUGIB case data registration form. Statistical software SPSS 23.0 was used for analysis. Results. Gastric ulcer was the main cause in the elderly group (50.0%), duodenal ulcer was the main cause in the middle and young groups, and gastrointestinal cancer (7.1%) and marginal ulcer (2.3%) in the elderly group were higher than those in the young group. Nonsteroidal anti-inflammatory drugs (52.3%) were the main inducement in the elderly group, which was significantly higher than in the middle-aged group (13.1%) and the young group (5%) ( P < 0.01 ). Drinking, fatigue, and emotional excitement led to a higher proportion in the middle-aged group and the young group, in comparison to the elderly group ( P < 0.01 ). Conclusion. Peptic ulcer is the most common cause of acute nonvariceal upper gastrointestinal bleeding, followed by acute gastric mucosal lesions and upper digestive system tumors, compared with nonulcer.

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Section: Discussionmentioning

confidence: 99%