Erosive Gastritis and Acute Gastroduodenal Ulcerations as Source of Upper Gastrointestinal Bleeding in Liver Cirrhosis

Digestion ◽  
1972 ◽  
Vol 7 (3-4) ◽  
pp. 129-138 ◽  
Author(s):  
J. Khodadoost ◽  
G.B.J. Glass
2011 ◽  
Vol 49 (05) ◽  
Author(s):  
E Schafer ◽  
K Rusznyák ◽  
Z Visnyei ◽  
K Dunkel ◽  
B Tolmácsi ◽  
...  

2011 ◽  
Vol 10 (3) ◽  
pp. 287-295 ◽  
Author(s):  
José Alberto González-González ◽  
Diego García-Compean ◽  
Genaro Vázquez-Elizondo ◽  
Aldo Garza-Galindo ◽  
Joel Omar Jáquez-Quintana ◽  
...  

2020 ◽  
Vol 27 (06) ◽  
pp. 1182-1186
Author(s):  
Muhammad Ayub ◽  
Sagheer Hussain ◽  
Salman Ahmed

Objectives: To determine role of histoacryl injection in preventing upper acute upper gastrointestinal bleeding. Study Design: Prospective Study. Setting: Gastroenterology ward of DHQ Teaching Hospital Gujranwala. Period: One year from 1st September 2017 to 31st August 2018. Material & Methods: Patients presented to the study hospital having upper gastrointestinal bleeding of acute onset due to gastric varices bleeding were included in this study. All other cases having upper GIT bleeding due to other causes like peptic ulcer disease, Mallory weise syndrome, gastritis or esophageal varices were not included in this study. Both male and female patients were included irrespective of their age. Hemostasis in these cases was achieved by endoscopic sclerotherapy using histoacryl glue (N-butyl-2-cyanoacrylate) injection without lipoidal dilution. After first session of injection patients were called on follow up after 5 days and they were assessed for recurrent GIT bleeding and treatment failure. All data was documented on a predesigned performa. Frequencies and percentage were calculated and results were expressed in tabular form and graphs. Results: Total 80 cases were studied including 56% male and 44% female cases. Endoscopic sclerotherapy using histoacryl injection proved successful in 87.5% cases and recurrent bleeding occurred in 12.5% cases. Minimum age of patients was 25 years and maximum age 70 years with mean age of 45 years. Total 450 cases presented in study institution with Upper GIT bleeding during study period and causes among them were liver cirrhosis in 92% cases, peptic ulcer disease in 4% cases, Malloryweise Syndrome in 2.5% and gastritis in 1.5% cases. In our study group cause of gastric varices was liver cirrhosis due to viral hepatitis in 73% cases and alcoholic hepatitis in 27% cases. After single session of endoscopic histoacryl glue injection to 80 cases, no bleeding occurred after 5 days in 71(88.7%) cases, recurrent bleeding occurred within 5 days in 9(11.2%) cases.  Two cases died due to massive recurrent bleeding and mortality rate was 2.5%. Conclusion: Endoscopic sclerotherapy using Histoacryl injection is very successful treatment for acute upper gastrointestinal bleeding with very low recurrence rate of bleeding and low mortality rate.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Fadhil Alfino Azmi ◽  
Saptino Miro ◽  
Detty Iryani

AbstrakPerdarahan saluran cerna bagian atas adalah kehilangan darah dalam lumen saluran cerna yang bermula dari esofagus sampai duodenum. Manifestasi kinis berupa hematemesis (muntah darah) dan atau melena (tinja hitam). Kasus ini masih banyak dilaporkan dari berbagai rumah sakit. Etiologi yang sering dilaporkan adalah varises esofagus, ulkus peptikum, gastritis erosif dan lain-lain. Tujuan penelitian ini adalah mengetahui frekuensi diagnosis esofagogastroduodenoskopi (EGD) pasien hematemesis dan atau melena di RSUP M Djamil Padang. Jenis penelitian yang digunakan adalah deskriptif retrospektif. Data diambil secara total sampling dari rekam medik pasien hematemesis dan atau melena yang dilakukan pemeriksaan EGD di Instalasi Diagnostik Terpadu (IDT) RSUP M Djamil Padang periode.Januari.2010.–.Desember.2013. Hasil penelitian menunjukkan 162 pasien kasus terbanyak adalah ulkus gaster (27,8%). Menurut jenis kelamin, pria lebih banyak dibanding wanita yaitu pria (64,8%) dan wanita (35,2%) rasio 1,8 : 1. Kelompok umur terbanyak adalah 51-60 tahun yaitu (20,0%). Lokasi lesi yang paling banyak ditemukan adalah gaster (48,8%).Kata kunci: esofagogastroduodenoskopi, perdarahan saluran cerna bagian atas, hematemesis, melena AbstractUpper gastrointestinal bleeding is a loss of blood in lumen of the gastrointestinal tract from esophagus to duodenum. Clinical manifestations are hematemesis (vomiting of blood) and/or melena (black stools). Many cases were widely reported from various hospitals. The most common etiology that often being reported are esophageal varices, peptic ulcer, erosive gastritis, etc. The objective of this study was to determine the frequency of esophagogastroduodenoscopy(EGD) findings in patients with hematemesis and/or melena in M Djamil Hospital Padang. The design of this research was retrospective descriptive. Data was taken from the result of patient's EGD examination(medical records) that having hematemesis and/or melena in Integrated Diagnostics Installation of M Djamil Hospital Padang from January 2010 to December 2013. The results showed that the highest cases of 162 patients were gastric ulcer (27.8%). According to gender, more men cases than women cases.  Men (64.8%) and women (35.2%) with ratio 1.8 : 1. Most cases occurred on 51-60 years old (20.0%). Location of lesions were most commonly found in gaster (48.8%).Keywords: esophagogastroduodenoscopy, upper gastrointestinal bleeding, hematemesis, melena


2012 ◽  
Vol 156 (3) ◽  
pp. 266-270 ◽  
Author(s):  
Pavel Svoboda ◽  
Michal Konecny ◽  
Arnost Martinek ◽  
Vladimir Hrabovsky ◽  
Vlastimil Prochazka ◽  
...  

2019 ◽  
Vol 156 (6) ◽  
pp. S-566
Author(s):  
Noelia E. Meligrana ◽  
Eduardo Coghlan ◽  
Manuel Mendizabal ◽  
Luis Laferrere ◽  
German L. Rainero ◽  
...  

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