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KMID : 0385919940050020306
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Journal of the Korean Society of Emergency Medicine
1994 Volume.5 No. 2 p.306 ~ p.312
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A Clinical Study of Bleeding Gastric Ulcer
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Abstract
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Management of bleeding gastric ulcer continues to present a challenge despite of improved diagnosis and treatment. Nowadays, endoscopic intervention could control the bleeding and emergency operation would be avoid. But mortality was not
decreased
and
the need to make therapeutic paradigm was increased.
So we analysed 280 patients who were admitted with bleeding gastric ulcer from 1984 to 1993 at Yong dong Severance Hospital. Most frequent presentations at admission were hematemesis and melena. 31 Patients were shock and 48 patients showed
severe
anemia(less than 7gm% of hemoglobin) at presentation. The average amount of transfusion was 6.1 pints. At endoscopy, arterial spurting was found at 19 patients and 60 patients showed stigmata. 204 patients received conservative management with
3.4%
mortality and 38 patients was performed endoscopic intervention with 10.7% mortality. 48 patients received surgical treatment and four were dead. Among them, there was no death in patiets who was performed surgical treatment after endoscopic
intervention. The overall mortality was 5%.
As a result, endoscopic intervention, if possible, could lessen blood loss and selected patients should receive surgical treatment even after cessation of bleeding.
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KEYWORD
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