THE SURGICAL-TREATMENT WITH UPPER GASTROINTESTINAL HEMORRHAGE

被引:0
|
作者
DURANTEZ, FD
机构
关键词
GASTROINTESTINAL HEMORRHAGE; SURGICAL TREATMENT; SUTURE; VAGOTOMY; GASTRECTOMY; MORTALITY;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The surgical treatment in 154 patients with upper gastrointestinal hemorrhage, was analyzed retrospectively. One hundred and twenty-two were males (79.2%) and 20.7% were females. Mean age was 58.3 years. Surgery was performed immediately or on a wait and see fashion, according to the evolution of the bleeding, during 1985-1989. Survivals were analyzed with the Chi-square test with 95% confidence limits. Overall mortality was 11.68% (18 patients), 12.69% after immediate surgery and 9.1% after deferred surgery. Resections had a higher mortality than simple suture in patients with associated severe risk and urgent surgical indication. In patients with less risk, a vagotomy procedure is added if no intercurrent diseases are present. Gastrectomy should be performed only out of necessity.
引用
收藏
页码:399 / 404
页数:6
相关论文
共 50 条
  • [31] SURGICAL-TREATMENT OF REFRACTORY EPILEPSY .1.
    DELGIUDICE, E
    RIVISTA ITALIANA DI PEDIATRIA-ITALIAN JOURNAL OF PEDIATRICS, 1994, 20 (04): : 427 - 432
  • [32] Urgent Endoscopy in Nonvariceal Upper Gastrointestinal Hemorrhage: A Retrospective Analysis
    Guan, Jia-lun
    Han, Ying-ying
    Fang, Dan
    Wang, Mu-ru
    Wang, Ge
    Tian, De-an
    Li, Pei-yuan
    CURRENT MEDICAL SCIENCE, 2022, 42 (04) : 856 - 862
  • [33] Characteristics and Outcomes of Upper Gastrointestinal Hemorrhage in a Tertiary Referral Hospital
    Halland, Magnus
    Young, Melissa
    Fitzgerald, Michael N.
    Inder, Kerry
    Duggan, John M.
    Duggan, Anne
    DIGESTIVE DISEASES AND SCIENCES, 2010, 55 (12) : 3430 - 3435
  • [34] A prospective study of upper gastrointestinal hemorrhage in patients with hepatocellular carcinoma
    Yeo, W
    Sung, JY
    Ward, SC
    Chung, SCS
    Lee, WY
    Li, AKC
    Johnson, PJ
    DIGESTIVE DISEASES AND SCIENCES, 1995, 40 (12) : 2516 - 2521
  • [35] Risk factors of upper gastrointestinal hemorrhage with acute coronary syndrome
    Wang, Nana
    Li, Tiegang
    Du, Qiang
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2019, 37 (04) : 615 - 619
  • [36] Predicting Poor Outcome from Acute Upper Gastrointestinal Hemorrhage
    Chiu, Philip W. Y.
    Ng, Enders K. W.
    GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2009, 38 (02) : 215 - +
  • [37] The Hematocrit Level in Upper Gastrointestinal Hemorrhage: Safety of Endoscopy and Outcomes
    Balderas, Valeska
    Bhore, Rafia
    Lara, Luis F.
    Spesivtseva, Julia
    Rockey, Don C.
    AMERICAN JOURNAL OF MEDICINE, 2011, 124 (10) : 970 - 976
  • [38] Management of Massive Upper Gastrointestinal Hemorrhage Secondary to Gastrosplenic Fistula
    Chopra, Asmita
    Al Yafi, Motaz
    Luckoski, John
    Das, Chandan
    Sferra, Joseph
    Stanek, Stephen
    AMERICAN SURGEON, 2023, 89 (12) : 6224 - 6226
  • [39] NONSTEROIDAL ANTIINFLAMMATORY DRUGS AND UPPER GASTROINTESTINAL HEMORRHAGE IN AN URBAN HOSPITAL
    KLEIN, WA
    KREVSKY, B
    KLEPPER, L
    LJUBICH, P
    NIEWIAROWSKI, TJ
    ROTHSTEIN, KD
    DABEZIES, MA
    FISHER, RS
    DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (11) : 2049 - 2055
  • [40] Upper gastrointestinal hemorrhage in the inpatient hospital setting: A different beast?
    Miskovitz, P
    CRITICAL CARE MEDICINE, 2000, 28 (01) : 261 - 262