Upper Gastrointestinal Hemorrhage: Comparison of the Causes and Prognosis in Primary and Secondary Bleeders

Zimmerman, Joseph; Meroz, Yuval; Siguencia, J.; Tsvang, E.; Arnon, Ron

doi:10.3109/00365529409092513

Cited by 33 publications

(23 citation statements)

References 11 publications

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“…Duodenal ulcer was also the most common cause of haemorrhage in this group of patients in our study -49.2%. Other authors also report similar results (9,10,11). It is worth emphasizing that these theses are related with patients hospitalised on internal ward.…”

Section: Discussionsupporting

confidence: 71%

“…It is worth emphasizing that in both groups the death rate in case of haemorrhage recurrence was higher when compared with general death rate within these groups. Other authors report similar data (8)(9)(10)(11).…”

Section: Discussionsupporting

confidence: 70%

“…In all available publications related with this group of patients, authors report a death rate reaching 34-36% (8)(9)(10)(11)(12). Majority of deaths is not caused by the sole bleeding, but by simultaneous exacerbation of co-existing diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Respiratory failure, concussion, coagulopathy and sepsis are well known haemorrhage risk factors in these patients (5,6,7). Occurrence of haemorrhage during stay on gastric and internal medicine departments was also described (8)(9)(10)(11). Nonetheless, there are no publications concerning haemorrhage during stay at surgical clinic, in patients suffering from acute ailments not only within the alimentary tract.…”

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confidence: 99%

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Gastrointestinal Bleeding in Patients with Acute Surgical Diseases

Winiarski

Matłok

Biesiada

et al. 2009

Polish Journal of Surgery

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2Opiekunowie Koła: dr n. med. M. Winiarski, dr n. med. M. MatłokThe aim of the study was to analyse patients in whom upper gastroinentestinal bleeding appeared during hospitalization in the surgical clinic. Material and methods. The study group consisted on 61 patients. 35 were women and 26 were men. The mean age of women was 76 and men 64.8 years. The mean age of the whole group was 72.3 years. 30 patients (49%) were hospitalized in general surgery ward, 16 (26%) in trauma unit and 15 patients (25%) in intensive care unit. Results. The reasons of hospitalisation in general surgery ward were: acute cholecystitis, acute pancrtatitis, peritonitis, lower extremity ischemia with foot necrosis, large bowel cancer and cancer of the gall-bladder. Patients were admitted to trauma unit because of hip and pelvic fractures. Patients were hospitalized in intensive care unit because of polytrauma, diffuse peritonitis, isolated head trauma and necrotising pancreatitis. The main source of bleeding were duodenal and gastric ulcers. It appeared in 28 (45.9%) and 18 (29.5%) patients respectively. The other reasons of bleeding were: erosive gastritis (9 patients) and Mallory-Weiss syndrome (6 patients). Bleeding recurrence was found in 21 patients (34.4%). This group of patients was characterised by high mortality rate 43%. The highest was among patients in intensive care unit. It reached 60%. Conclusions. Based on the performed analysis we come to the following conclusions: 1. Upper gastrointestinal bleeding is serious complication during hospitalisation in surgical clinic; 2. Usually it affects older patients; 3. This complication is associated with high rate of rebleeding and high mortality rate.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Gastrointestinal Bleeding in Patients with Acute Surgical Diseases

Winiarski

Matłok

Biesiada

et al. 2009

Polish Journal of Surgery

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“…The most common etiologies include peptic ulcer disease, mucosal erosive disease and variceal bleeding [8][9][10][11][12] . Because there is an increasing concern for cost-containment without sacrificing clinical outcomes [13][14][15] , there is room to implement emergent care for UGI bleeding with appropriate early discharge for subjects at low risk of rebleeding or death [16][17][18][19][20] . Although endoscopic findings can identify individuals at a high risk of rebleeding, overall mortality is often reflective of other factors such as age and comorbid conditions.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Rockall scoring system for outcomes from non-variceal upper gastrointestinal bleeding in a Canadian setting

Enns

Gagnon²,

Barkun³

et al. 2006

WJG

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AIM:To validate the Rockall scoring system for predicting outcomes of rebleeding, and the need for a surgical procedure and death. METHODS:We used data extracted from the Registry of Upper Gastrointestinal Bleeding and Endoscopy including information of 1869 patients with non-variceal upper gastrointestinal bleeding treated in Canadian hospitals. Risk scores were calculated and used to classify patients based on outcomes. For each outcome, we used χ 2 goodness-of-fit tests to assess the degree of calibration, and built receiver operating characteristic curves and calculated the area under the curve (AUC) to evaluate the discriminative ability of the scoring system. RESULTS:

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