急性出血性直腸潰瘍に対する手指圧迫止血法の経験

• 片岡 孝一

  徳島県立中央病院消化器科

• 鈴木 雅子

  徳島県立中央病院内科

• 高田 淳子

  徳島県立中央病院内科

• 遠藤 逸朗

  徳島県立中央病院内科

• 日下 至弘

  徳島県立中央病院内科

• 青木 秀俊

  徳島県立中央病院内科

• 矢野 充保

  徳島県立中央病院内科

• 高野 尚之

  徳島県立中央病院内科

書誌事項

タイトル別名

• USEFULNESS OF HEMOSTATIC PROCEDURE BY DIGITALCOMPRESSION FOR ACUTE HEMORRHAGIC RECTAL ULCER

抄録

Acute hemorrhagic rectal ulcer (AHRU) occurs suddenly with painless, massive freshrectal bleeding in aged patients suffering from serious primary disease. AHRU was firstproposed by Kohno et al. in 1980. We assessed the clinical findings, endoscopic images andtherapies in seven patients with AHRU seen over the past five years. The clinical findingsand endoscopic images were similar to those reported previously. AHRU was assumed tobe caused by circulatory impairment of rectal mucosa due to advanced age, seriousprimary disease and bed-ridden condition as well as placement of an analgesic suppasitoryand constipation. Six patients who had an exposed vessel.received endoscopic localinjection therapy. However, since the therapy failed to produce sufficient hemostaticeffects in 4 patients, a hemostatic procedure by digital cornpression was also performed.All patients had reliable hemflstasis without any recurrent bleeding. Therefere, thehemostatic procedure by digital compression was considered very useful for the treatmentof AHRU.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 37 (10), 2262-2266_1, 1995

  一般社団法人 日本消化器内視鏡学会

詳細情報

• CRID: 1390282679195503360
• NII論文ID: 130004253718
• NII論文ID: 10006814807
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.37.2262
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/1996071178
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可