Avtor/Urednik | Repše, Stane; Žakelj, Bojan; Čalić, Milič; Jelenc, Franc; Štor, Zdravko | |
Naslov | Hude krvavitve iz širokega črevesa in danke | |
Prevedeni naslov | Massive colorectal hemorrhage | |
Tip | članek | |
Vir | Zdrav Vestn | |
Vol. in št. | Letnik 66, št. Suppl 1 | |
Leto izdaje | 1997 | |
Obseg | str. I-29-30 | |
Jezik | slo | |
Abstrakt | Background. Massive colorectal hemorrhage represents less than 10% of all clinically important bleeding from the gastrointestinal tract. It is caused by numerous reasons varying in regard of patient' age. Preoperative localisation of the site of bleeding is often difficult, but it is necessary. Methods. Retrospective analysis of the patients with massive colorectal hemorrhage treated in Surgical gastroenterological Department in the period from 1974 to 1993. Results. In the 20-year period 27 patients were operated on: in 6 patients bleeding was caused by ulcerative colitis, in 6 patients by angiodysplasia, in 6 patients the cause was colon cancer, in 5 patients rectal cancer, in 3 patients Crohn's disease and in 2 cases diverticula of the right colon. Three patients, 2 with ulcerative colitis and 1 with colon cancer died in the postoperative period. Conclusion. Massive colorectal hemorrhage is rare, but it represents a hard diagnostic and therapeutic problem. | |
Izvleček | Izhodišča. Hude krvavitve iz širokega črevesa in danke predstavljajo manj kot 10% vseh klinično pomembnih krvavitev iz prebavil. Vzroki so številni in v različnih obdobjih različni. Predoperativna lokalizacija krvavitve je pogosto težavna, vendar nujna. Metode. Retrospektivna analiza bolnikov, ki so bili zdravljeni zaradi hude krvavitve iz širokega črevesa in danke na Kirurški gastroenterološki kliniki v obdobju od 1974. do 1993. leta. Rezultati. V obdobju 20 let smo operirali samo 27 bolnikov. Vzrok za hude krvavitve iz širokega črevesa in danke je bil 6-krat ulcerozni kolitis, 6-krat angiodisplazije, 5-krat rak širokega črevesa, 5-krat rak danke, 3-krat Crohnova bolezen in 2-krat divertikli desnega kolona. V pooperativnem obdobju so umrli trije bolniki, dva z ulceroznim kolitisom in eden z rakom širokega črevesa. Zaključek. Huda krvavitev iz širokega črevesa in danke je sicer redka, predstavlja pa zelo hud diagnostični in tudi terapevtski problem. | |
Deskriptorji | GASTROINTESTINAL HEMORRHAGE COLONIC DISEASES RECTAL DISEASES |