지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 162 - 173 (12page)
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초록· 키워드
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Background/Aims: Despite improvements in endoscopic hemostasis and pharmacological therapies, upper gastrointestinal (UGI) ulcersrepeatedly bleed in 10% to 20% of patients, and those without early endoscopic reintervention or definitive surgery might be at ahigh risk for mortality. This study aimed to identify the risk factors for intractability to initial endoscopic hemostasis. Methods: We analyzed intractability among 428 patients who underwent emergency endoscopy for bleeding UGI ulcers within 24hours of arrival at the hospital. Results: Durable hemostasis was achieved in 354 patients by using initial endoscopic procedures. Sixty-nine patients with Forrest typesIa, Ib, IIa, and IIb at the second-look endoscopy were considered intractable to the initial endoscopic hemostasis. Multivariate analysisindicated that age ≥70 years (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.07 to 4.03), shock on admission (OR, 5.26; 95% CI,2.43 to 11.6), hemoglobin <8.0 mg/dL (OR, 2.80; 95% CI, 1.39 to 5.91), serum albumin <3.3 g/dL (OR, 2.23; 95% CI, 1.07 to 4.89), exposedvessels with a diameter of ≥2 mm on the bottom of ulcers (OR, 4.38; 95% CI, 1.25 to 7.01), and Forrest type Ia and Ib (OR, 2.21;95% CI, 1.33 to 3.00) predicted intractable endoscopic hemostasis. Conclusions: Various factors contribute to intractable endoscopic hemostasis. Careful observation after endoscopic hemostasis is importantfor patients at a high risk for incomplete hemostasis.
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참고문헌 (23)
참고문헌 신청
Barkun A / 2004 / The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): Endoscopic hemostasis and proton pump inhibition are associated
Brullet E / 1996 / Factors predicting failure of endoscopic injection therapy in bleeding duodenal ulcer / Gastrointest Endosc 43 (2 Pt 1) : 111 ~ 116
Cheng CL / 2010 / Predictors of rebleeding and mortality in patients with high-risk bleeding peptic ulcers / Dig Dis Sci 55 : 2577 ~ 2583
Chung IK / 2001 / Endoscopic factors predisposing to rebleeding following endoscopic hemostasis in bleeding peptic ulcers / Endoscopy 33 : 969 ~ 975
Cipolletta L / 1998 / Prospective comparison of argon plasma coagulator and heater probe in the endoscopic treatment of major peptic ulcer bleeding / Gastrointest Endosc 48
Brullet E / 1996 / Factors predicting failure of endoscopic injection therapy in bleeding duodenal ulcer / Gastrointest Endosc 43 (2 Pt 1) : 111 ~ 116
Cheng CL / 2010 / Predictors of rebleeding and mortality in patients with high-risk bleeding peptic ulcers / Dig Dis Sci 55 : 2577 ~ 2583
Chung IK / 2001 / Endoscopic factors predisposing to rebleeding following endoscopic hemostasis in bleeding peptic ulcers / Endoscopy 33 : 969 ~ 975
Cipolletta L / 1998 / Prospective comparison of argon plasma coagulator and heater probe in the endoscopic treatment of major peptic ulcer bleeding / Gastrointest Endosc 48
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