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. 1977 Mar;185(3):367–374. doi: 10.1097/00000658-197703000-00019

Emergency diagnosis of upper gastrointestinal bleeding by fiberoptic endoscopy.

H V Villar, H Roberts Fender, L C Watson, J C Thompson
PMCID: PMC1396623  PMID: 300236

Abstract

Emergency esophagogastroduodenoscopy has been performed in 192 consecutive patients admitted with massive gastrointestinal bleeding. Accurate endoscopic diagnosis was made in 184 or 96%; 58 patients underwent emergency operations to control bleeding with an overall operative mortality of 26%. Excluding 16 patients who underwent emergency portacaval shunting, the operative mortality was 7%. In 6 patients, the bleeding was controlled by endoscopic electrocoagulation. There were no complications. Emergency endoscopy should be done routinely as the primary diagnostic approach in the diagnosis of upper gastrointestinal bleeding.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERKOWITZ D. FATAL GASTROINTESTINAL HEMORRHAGE; DIAGNOSTIC IMPLICATIONS FROM A STUDY OF 200 CASES. Am J Gastroenterol. 1963 Oct;40:372–377. [PubMed] [Google Scholar]
  2. Blackwood W. D., Silvis S. E. Electrocoagulation of hemorrhagic gastritis. Gastrointest Endosc. 1971 Nov;18(2):53–55. doi: 10.1016/s0016-5107(71)74028-0. [DOI] [PubMed] [Google Scholar]
  3. COSGRIFF J. H., GRAY J. G., STEWART J. D. Experiences with the treatment of acutely massively bleeding peptic ulcer by blood replacement and gastric resection. Surg Gynecol Obstet. 1956 Oct;103(4):409–415. [PubMed] [Google Scholar]
  4. FOSTER J. H., HICKOK D. F., DUNPHY J. E. FACTORS INFLUENCING MORTALITY FOLLOWING EMERGENCY OPERATION FOR MASSIVE UPPER GASTROINTESTINAL HEMORRHAGE. Surg Gynecol Obstet. 1963 Sep;117:257–262. [PubMed] [Google Scholar]
  5. Gang M. J., McCray R. S. Emergent endoscopy in a voluntary hospital. Gastrointest Endosc. 1970 May;16(4):231–233. [PubMed] [Google Scholar]
  6. Hedberg S. E. Endoscopy in gastrointestinal bleeding. A systematic approach to diagnosis. Surg Clin North Am. 1974 Jun;54(3):549–559. doi: 10.1016/s0039-6109(16)40332-4. [DOI] [PubMed] [Google Scholar]
  7. Katon R. M., Smith F. W. Panendoscopy in the early diagnosis of acute upper gastrointestinal bleeding. Gastroenterology. 1973 Nov;65(5):728–734. [PubMed] [Google Scholar]
  8. Mann N. S. Hemorrhagic duodenitis: endoscopic study. Am J Med Sci. 1973 Dec;266(6):437–439. doi: 10.1097/00000441-197312000-00004. [DOI] [PubMed] [Google Scholar]
  9. Massive gastrointestinal bleeding. A panel by correspondence. Arch Surg. 1973 Sep;107(3):367–372. [PubMed] [Google Scholar]
  10. McGinn F. P., Wilken B. J. Endoscopy in upper gastrointestinal haemorrhage. J R Coll Surg Edinb. 1974 Mar;19(2):112–115. [PubMed] [Google Scholar]
  11. Papp J. P. Endoscopic electrocoagulation in upper gastrointestinal hemorrhage. A preliminary report. JAMA. 1974 Nov 25;230(8):1172–1173. [PubMed] [Google Scholar]
  12. Papp J. P. Endoscopic experience in 100 consecutive cases with the olympus GIF endoscope. Am J Gastroenterol. 1973 Nov;60(5):466–472. [PubMed] [Google Scholar]
  13. Sugawa C., Shier M., Lucas C. E., Walt A. J. Electrocoagulation of bleeding in the upper part of the gastrointestinal tract: a preliminary experimental clinical report. Arch Surg. 1975 Aug;110(8):975–979. doi: 10.1001/archsurg.1975.01360140119023. [DOI] [PubMed] [Google Scholar]
  14. Sugawa C., Werner M. H., Hayes D. F., Lucas C. E., Walt A. J. Early endoscopy. A guide to therapy for acute hemorrhage in the upper gastrointestinal tract. Arch Surg. 1973 Aug;107(2):133–137. doi: 10.1001/archsurg.1973.01350200007004. [DOI] [PubMed] [Google Scholar]
  15. Waldram R., Davis M., Nunnerley H., Williams R. Emergency endoscopy after gastrointestinal haemorrhage in 50 patients with portal hypertension. Br Med J. 1974 Oct 12;4(5936):94–96. doi: 10.1136/bmj.4.5936.94. [DOI] [PMC free article] [PubMed] [Google Scholar]

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