Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy.
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985 |
Resumo: | In the setting of upper endoscopy after upper gastrointestinal bleeding (UGIB), the presence of blood or clots in the gastric lumen precluding the complete mucosal examination is a frequent finding.To define the prognostic value of this endoscopic finding and the need of a follow-up endoscopy.Retrospective study of 100 consecutive patients with UGIB and the endoscopic finding of blood in the stomach (Group A) and 100 at the same conditions but without this endoscopic finding (Group B). In both groups we compared the bleeding lesions and the presence of clinic, laboratorial and endoscopic signs of severity.Gastric and duodenal ulcers were the bleeding lesions more frequently identified in both groups. Lesions related to portal hypertension were more frequent in the first than in the second one. There was also a significant association with other endoscopic signs of severe haemorrhage and with the clinical signs of bad prognosis. In the follow-up endoscopy we found new lesions in 46% of the patients in the first group and only in 15% of the second one.The endoscopic finding of blood or clots in the stomach should be considered as a bad prognostic sign and lead to a second endoscopy. |
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Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy.Valor prognóstico da presença de sangue/coágulos no lúmen gástrico na endoscopia de urgência.In the setting of upper endoscopy after upper gastrointestinal bleeding (UGIB), the presence of blood or clots in the gastric lumen precluding the complete mucosal examination is a frequent finding.To define the prognostic value of this endoscopic finding and the need of a follow-up endoscopy.Retrospective study of 100 consecutive patients with UGIB and the endoscopic finding of blood in the stomach (Group A) and 100 at the same conditions but without this endoscopic finding (Group B). In both groups we compared the bleeding lesions and the presence of clinic, laboratorial and endoscopic signs of severity.Gastric and duodenal ulcers were the bleeding lesions more frequently identified in both groups. Lesions related to portal hypertension were more frequent in the first than in the second one. There was also a significant association with other endoscopic signs of severe haemorrhage and with the clinical signs of bad prognosis. In the follow-up endoscopy we found new lesions in 46% of the patients in the first group and only in 15% of the second one.The endoscopic finding of blood or clots in the stomach should be considered as a bad prognostic sign and lead to a second endoscopy.In the setting of upper endoscopy after upper gastrointestinal bleeding (UGIB), the presence of blood or clots in the gastric lumen precluding the complete mucosal examination is a frequent finding.To define the prognostic value of this endoscopic finding and the need of a follow-up endoscopy.Retrospective study of 100 consecutive patients with UGIB and the endoscopic finding of blood in the stomach (Group A) and 100 at the same conditions but without this endoscopic finding (Group B). In both groups we compared the bleeding lesions and the presence of clinic, laboratorial and endoscopic signs of severity.Gastric and duodenal ulcers were the bleeding lesions more frequently identified in both groups. Lesions related to portal hypertension were more frequent in the first than in the second one. There was also a significant association with other endoscopic signs of severe haemorrhage and with the clinical signs of bad prognosis. In the follow-up endoscopy we found new lesions in 46% of the patients in the first group and only in 15% of the second one.The endoscopic finding of blood or clots in the stomach should be considered as a bad prognostic sign and lead to a second endoscopy.Ordem dos Médicos2002-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985oai:ojs.www.actamedicaportuguesa.com:article/1985Acta Médica Portuguesa; Vol. 15 No. 6 (2002): Novembro-Dezembro; 413-6Acta Médica Portuguesa; Vol. 15 N.º 6 (2002): Novembro-Dezembro; 413-61646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985/1549Seves, IsabelSousa, ConceiçãoLuz, Zaidainfo:eu-repo/semantics/openAccess2022-12-20T10:59:41Zoai:ojs.www.actamedicaportuguesa.com:article/1985Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:30.973388Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. Valor prognóstico da presença de sangue/coágulos no lúmen gástrico na endoscopia de urgência. |
title |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. |
spellingShingle |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. Seves, Isabel |
title_short |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. |
title_full |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. |
title_fullStr |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. |
title_full_unstemmed |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. |
title_sort |
Prognostic value of the finding of blood/clots in the stomach at the emergency upper endoscopy. |
author |
Seves, Isabel |
author_facet |
Seves, Isabel Sousa, Conceição Luz, Zaida |
author_role |
author |
author2 |
Sousa, Conceição Luz, Zaida |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Seves, Isabel Sousa, Conceição Luz, Zaida |
description |
In the setting of upper endoscopy after upper gastrointestinal bleeding (UGIB), the presence of blood or clots in the gastric lumen precluding the complete mucosal examination is a frequent finding.To define the prognostic value of this endoscopic finding and the need of a follow-up endoscopy.Retrospective study of 100 consecutive patients with UGIB and the endoscopic finding of blood in the stomach (Group A) and 100 at the same conditions but without this endoscopic finding (Group B). In both groups we compared the bleeding lesions and the presence of clinic, laboratorial and endoscopic signs of severity.Gastric and duodenal ulcers were the bleeding lesions more frequently identified in both groups. Lesions related to portal hypertension were more frequent in the first than in the second one. There was also a significant association with other endoscopic signs of severe haemorrhage and with the clinical signs of bad prognosis. In the follow-up endoscopy we found new lesions in 46% of the patients in the first group and only in 15% of the second one.The endoscopic finding of blood or clots in the stomach should be considered as a bad prognostic sign and lead to a second endoscopy. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985 oai:ojs.www.actamedicaportuguesa.com:article/1985 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1985 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1985/1549 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 15 No. 6 (2002): Novembro-Dezembro; 413-6 Acta Médica Portuguesa; Vol. 15 N.º 6 (2002): Novembro-Dezembro; 413-6 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130628420009984 |