消化管出血に対する非手術的治療　　出血性胃十二指腸潰瘍に対する非手術的治療の選択

DOI 被引用文献2件 参考文献9件

書誌事項

タイトル別名
  • Strategies for Non-surgical Treatment of Gastroduodenal Ulcer Bleeding

この論文をさがす

抄録

Non-surgical treatments, such as endoscopic hemostasis, have become the primary means of treating gastroduodenal ulcer bleeding, though patient quality of life can be compromised if an inappropriate method is selected. To determine the proper treatment and measures to be taken when rebleeding occurs, the outcome of 175 cases treated between 2000 and 2004 was evaluated. Among 110 cases with either spurting bleeding, oozing bleeding, or non-bleeding visible vessels-categorized according to the classification system developed by Forrest, 94 (85.5%) patients were treated using endoscopic hemostasis. No significant difference in the ratio of recurrent bleeding was observed among the hemostatic procedures that were utilized, including clipping and injection. Of the 16 cases with recurrent bleeding, which were mainly treated using additional endoscopic hemostasis, only 4 received emergency interventional radiology, including crucial cases with hemostatic difficulty at the time of initial treatment. As a result, all the cases attained permanent hemostasis, though rebleeding was frequent among the cases with spurting bleeding. Two elderly patients died because of organ failure triggered by the bleeding. The present findings suggest that careful follow-up is necessary for patients with gastroduodenal ulcer bleeding.

収録刊行物

被引用文献 (2)*注記

もっと見る

参考文献 (9)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ