L'endoscopia d'urgenza nelle emorragie del tratto digestivo superiore.

Translated title of the contribution: Emergency endoscopy in upper gastrointestinal hemorrhage

P. Giorgio, D. Lorusso, F. Scotto, G. Di Matteo

Research output: Contribution to journalArticle

Abstract

The paper reports a series of 236 patients who underwent emergency esophagogastroduodenoscopy (EGDS) (within 48 hours of hospitalisation) due to hemorrhage of the upper digestive tract. A definitive diagnosis of the of bleeding was made in 233 (98.7%) cases. In 1.3% of cases, endoscopic tests proved negative. The most frequent cause of bleeding was duodenal ulcer, followed by esophageal varices. Hemorrhage was caused in only 46.2% of 80 cirrhotic patients by the rupture of esophageal varices, whereas in the remaining 53.8% of cases the source of hemorrhage was a lesion associated to esophageal varices. Surgery was necessary in 15 patients (6.4%). The death rate within 30 days was 5.5%. In conclusion, emergency EGDS performed within 24 hours of hospitalisation is the most precise diagnostic technique for upper gastrointestinal bleeding.

Translated title of the contributionEmergency endoscopy in upper gastrointestinal hemorrhage
Original languageItalian
Pages (from-to)215-218
Number of pages4
JournalMinerva Dietologica e Gastroenterologica
Volume36
Issue number4
Publication statusPublished - Oct 1990

ASJC Scopus subject areas

  • Medicine(all)

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    Giorgio, P., Lorusso, D., Scotto, F., & Di Matteo, G. (1990). L'endoscopia d'urgenza nelle emorragie del tratto digestivo superiore. Minerva Dietologica e Gastroenterologica, 36(4), 215-218.