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Acute upper gastro-intestinal haemorrhage

A review of 71 cases
  • Oscar J. Traynor
  • Joseph P. McMullin
Article
  • 13 Downloads

Summary

Seventy-one patients with acute upper gastro-intestinal haemorrhage were studied with particular reference to investigations, diagnosis, and history of ingestion of gastro-intestinal irritants. A high incidence of superficial mucosal lesions was found, and the importance of early investigation in the diagnosis of these lesions is stressed. Endoscopy was found to be superior to barium meal in the diagnosis of all sources of haemorrhage except duodenal ulcer. The incidence of multiple lesions was found to be 12.7%, and the value of direct visualisation of bleeding points by endoscopy is emphasised. Almost 16% of the patients underwent urgent surgery, but the mortality rate for the series as a whole was only 2.8%.

Keywords

Duodenal Ulcer Gastric Ulcer Pyloric Stenosis Barium Meal Intestinal Haemorrhage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Cotton, P. B., Rosenberg, M. T., Waldram, R. P. L. and Axon, A. T. R. 1973. Early endoscopy of oesophagus, stomach and duodenal bulb in patients with haematemesis and melaena. Brit. Med. J. ii, 505.Google Scholar
  2. Cotton, P. B. 1975.In “Topics in Gastroenterology, 3”. Eds. S. C. Truelove and M. J. Goodman. Oxford. Blackwell.Google Scholar
  3. Cronstedt, J., Ostberg, H., Carling, L., Loof, L., Wennerholm, M., Hogberg, N. and Vogel, A. 1976. Diagnosis and treatment of acute gastrointestinal haemorrhage in a small district hospital. Acta Med. Scand. 199, 129.PubMedGoogle Scholar
  4. Doyle, J. S. 1975. Visualisation of duodenal ulcer during upper gastrointestinal endoscopy—a review. Ir. J. Med. Sc. 144, 76.Google Scholar
  5. Dronfield, M. W. and Langman, M. J. S. 1978. Acute upper gastrointestinal bleeding. Br. J. Hosp. Med. 19, 97.PubMedGoogle Scholar
  6. Eastwood, G. L. 1977. Does early endoscopy benefit the patient with active upper gastrointestinal haemorrhage?. Gastroenterol. 72, 737.Google Scholar
  7. Editorial. 1974. Massive upper gastrointestinal bleeding. Brit. med. J. i, 403.Google Scholar
  8. Forrest, J. A. H. and Finlayson, N. D. C. 1974. The investigation of acute upper gastrointestinal haemorrhage. Br. J. Hosp. Med. 12, 160.Google Scholar
  9. Forrest, J. A. H., Finlayson, N. D. C. and Shearman, D. J. C. 1974. Endoscopy in gastrointestinal bleeding. Lancet ii, 394.CrossRefGoogle Scholar
  10. Hoare, A. M. 1975. Comparative study between endoscopy and radiology in acute upper gastrointestinal haemorrhage. Brit. med. J. i, 27.Google Scholar
  11. Johnston, S. J., Jones, P. F., Kyle, J. and Needham, C. D. 1973. Epidemiology and course of gastrointestinal haemorrhage in North East Scotland. Brit. med. J. iii, 655.Google Scholar
  12. Keller, R. T. and Logan, G. M. 1976. Comparison of emergent endoscopy and upper gastrointestinal series radiography in acute upper gastrointestinal haemorrhage. Gut 17, 180.PubMedCrossRefGoogle Scholar
  13. Northfield, T. C. 1975.In “Topics in Gastroenterology. 3”. Eds. S. C. Truelove and M. J. Goodman. Oxford. Blackwell. p. 39.Google Scholar
  14. O'Morain, C., Lennon, J., Alton, B. G. and Coleman, C. 1978. Emergency endoscopy in upper gastrointestinal haemorrhage. Ir. Med. J. 71, 117.PubMedGoogle Scholar
  15. Schiller, K. F. R., Truelove, S. C. and Gwyn Williams, D. 1970. Haematemesis and melaena, with special reference to factors influencing the outcome. Brit. med. J. ii, 7.CrossRefGoogle Scholar
  16. Scott-Harden, W. G. 1975.In “Topics in Gastroenterology, 3”. Eds. S. C. Truelove and M. J. Goodman. Oxford. Blackwell.Google Scholar
  17. Stevenson, G. W., Cox, R. R. and Roberts, C. J. C. 1976. Prospective comparison of double contrast barium meal examination and fibreoptic endoscopy in acute upper gastrointestinal haemorrhage. Brit. med. J. ii, 723.Google Scholar
  18. Truelove, S. C. 1975.In “Topics in Gastroenterology, 3”. Eds. S. C. Truelove and M. J. Goodman. Oxford. Blackwell.Google Scholar
  19. Waldram, R., David, M., Nunnerley, H. and Williams, R. 1974. Emergency endoscopy after gastrointestinal haemorrhage in 50 patients with portal hypertension. Brit. med. J. iv, 94.Google Scholar

Copyright information

© Springer-Verlag 1978

Authors and Affiliations

  • Oscar J. Traynor
    • 1
  • Joseph P. McMullin
    • 1
  1. 1.Department of SurgerySt. Vincent's HospitalDublin

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