Author/Editor     Skok, P
Title     Krvavitev iz prebavil - kako uspešna je endoskopska hemostaza?
Translated title     Gastrointestinal haemorrhage - how efficient is endoscopic haemostasis?
Type     članek
Source     In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja. Zbornik 2. mednarodni simpozij o urgentni medicini; 1995 jun 21-24; Ljubljana. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year     1995
Volume     str. 34-8
Language     slo
Abstract     Hemorrhage from a digestive organ is a frequent sign of gastrointestinal tract disease. Endoscopy is the method of choice for localizing the site of hemorrhage and transendoscopic hemostatic procedures. The aim of the study was to establish the percentage of patients in which interventional endoscopy failed to stop the hemorrhage. The retrospective analysis includes those patients from our institution who during 1994 had undergone urgent endoscopic examination of the upper digestive tract and hemostatic interventions with sclerotherapy, laser photocoagulation or electrocoagulation of the hemorrhaging spot. 801 patients were examined (average age 75,5 years, SD 16,9, span 7-93 yrs). In only 253 patients (31%) the examination revealed signs of acute hemorrhage requiring hemostatic interventions. In 8 patients with acute hemorrhage - 3% (average 61,1 years, SD 6,9, span 51-70 yrs) endoscopic hemostasis did not prove successful, therefore after several unsuccessfully repeated endoscopic interventions (17 in all) the patients were treated operatively, Apart from the basic disease, expressed by hemorrhage from the digestive tract, every patient also had some additional disease. In 4 cases the cause of hemorrhage was a peptic ulcer, in 3 duodenal ulcer and in one case gastric cancer. As regards the type of operation, 5 patients were treated by gastric resection acc. to the Billroth II method, 2 by hemostatic suturing and one by gastrectomy. During the postoperative period, 4 patients died because of complications. Despite the development of endoscopic instruments and methods of hemostasis, mortality due to hemorrhage from the digestive tract has not decreased essentially. Namely, numerous demanding endoscopic procedures are carried out in older patients having other diseases beside the basic one. These diseases represent the risk factors for eventual surgical treatment and the following complications.
Descriptors     GASTROINTESTINAL HEMORRHAGE
ENDOSCOPY, GASTROINTESTINAL
HEMOSTASIS, ENDOSCOPIC
TREATMENT OUTCOME
CHILD
ADOLESCENCE
ADULT
MIDDLE AGE
AGED