Comparison of the Effectiveness of Interventional Endoscopy in  Bleeding Peptic Ulcer Disease according to the Timing of  Endoscopy

Hyun Seok Cho; 한동수; Sang Bong Ahn; Tae Jun Byun; Tae Yeob Kim; Chang Soo Eun; 전용철; 손주현

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자료유형: 학술저널

저자정보: Hyun Seok Cho 한동수 Sang Bong Ahn Tae Jun Byun Tae Yeob Kim Chang Soo Eun 전용철 손주현

저널정보: 거트앤리버 발행위원회 Gut and Liver Gut and Liver 제3권 제4호

발행연도: 2009.1

수록면: 266 - 270 (5page)

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Background/Aims: The optimal timing for interventional endoscopy in bleeding peptic ulcer disease is controversial. This study compared the outcomes between early endoscopy and delayed endoscopy in patients with bleeding peptic ulcer disease. Methods: We conducted a prospective analysis of data from 90 patients with bleeding peptic ulcer disease who visited the emergency room between May 2006 and September 2007. Patients were categorized into two groups: the early-endoscopy group (admitted during the daytime or at night with prompt endoscopic management) and the delayed-endoscopy group (admitted at night or during weekends, with endoscopic management delayed until the next day). We compared the clinical outcomes of endoscopy between the two groups. Results: There were 49 patients in the early-endoscopy group and 41 patients in the delayed-endoscopy group. Patient demographics, clinical characteristics, bleeding control modality, and Rockall score did not differ between the two groups. There were also no significant differences between the early- and delayed-endoscopy groups in the re-bleeding rate (3/49 vs 5/41, p=0.313), the duration of hospital stay (10.7 vs 9.3 days, p=0.437), and the total amount of blood transfused (3.4 vs 2.7 units, p=0.240). Conclusions: The effectiveness of interventional endoscopy for patients with bleeding peptic ulcer disease is not significantly affected by the timing of endoscopy.

#Bleeding peptic ulcer disease #Interventional endoscopy #Endoscopic timing

참고문헌 (23)

참고문헌 신청

Andriulli A / 2005 / Proton-pump inhibitors and outcome of endoscopic hemostasis in bleeding peptic ulcers: a series of meta-analyses / Am J Gastroenterol 100 : 207 ~ 219

Barkun A / 2003 / Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding / Ann Intern Med 139 : 843 ~ 857

Blocksom JM / 2004 / Current therapy for nonvariceal upper gastrointestinal bleeding / Surg Endosc 18 : 186 ~ 192

Boonpongmanee S / 2004 / The frequency of peptic ulcer as a cause of upper-GI bleeding is exaggerated / Gastrointest Endosc 59 : 788 ~ 794

Chung SC / 2001 / Peptic ulcer bleeding / Am J Gastroenterol 96 : 1 ~ 3

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이 논문의 저자 정보

Hyun Seok Cho

소속기관 거트앤리버 발행위원회

주요연구분야 의약학 > 임상의학 > 내과학

논문수 2 이용수 0

한동수

소속기관 한양대학교

주요연구분야 의약학 > 임상의학 > 내과학

논문수 20 이용수 14

Sang Bong Ahn

소속기관

주요연구분야 의약학 > 임상의학 > 내과학

논문수 4 이용수 0

Tae Jun Byun