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.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BERKOWITZ D. FATAL GASTROINTESTINAL HEMORRHAGE; DIAGNOSTIC IMPLICATIONS FROM A STUDY OF 200 CASES. Am J Gastroenterol. 1963 Oct;40:372–377. [PubMed] [Google Scholar]
- 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]
- 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]
- 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]
- Gang M. J., McCray R. S. Emergent endoscopy in a voluntary hospital. Gastrointest Endosc. 1970 May;16(4):231–233. [PubMed] [Google Scholar]
- 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]
- 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]
- 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]
- Massive gastrointestinal bleeding. A panel by correspondence. Arch Surg. 1973 Sep;107(3):367–372. [PubMed] [Google Scholar]
- 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]
- Papp J. P. Endoscopic electrocoagulation in upper gastrointestinal hemorrhage. A preliminary report. JAMA. 1974 Nov 25;230(8):1172–1173. [PubMed] [Google Scholar]
- 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]
- 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]
- 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]
- 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]