NDLI: Early Endoscopy: A Guide to Therapy for Acute Hemorrhage in the Upper Gastrointestinal Tract

Content Provider	JAMA Network
Author	Sugawa, Choichi Werner, Michael H. Hayes, Dennis F. Lucas, Charles E. Walt, Alexander J.
Copyright Year	1973
Abstract	The surgical endoscopy unit at Detroit General Hospital has examined 183 patients with acute hemorrhage in the upper gastrointestinal tract during the past 14 months. Most patients (160) were examined within 48 hours of admission. The esophagogastroduodenoscope was used throughout. Successful visualization of the esophagogastroduodenal area was accomplished in 178 patients (97%). The primary cause of bleeding as judged endoscopically was acute gastric erosion due to alcohol or salicylates in 75 patients, benign ulcer disease in 52, Mallory- Weiss syndrome in 27, and esophageal varices in eight. Sixty-eight patients (43%) had more than one source of bleeding. Intraoperative endoscopy in 12 patients circumvented the need for exploratory gastrotomy. The high incidence of superficial lesions correlated well with the high incidence of negative barium study (67%) in these patients.
Ending Page	137
Starting Page	133
Page Count	5
File Format	PDF HTM / HTML
ISSN	00040010
DOI	10.1001/archsurg.1973.01350200007004
Issue Number	2
Journal	Archives of Surgery
Volume Number	107
Language	English
Publisher	American Medical Association
Publisher Date	1973-08-01
Access Restriction	Subscribed
Content Type	Text
Resource Type	Article
Subject	Surgery

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Early Endoscopy: A Guide to Therapy for Acute Hemorrhage in the Upper Gastrointestinal Tract