|
KMID : 0614620040440010019
|
|
Korean Journal of Gastroenterology
2004 Volume.44 No. 1 p.19 ~ p.24
|
|
|
Alimentary Tract : Rate and Predictive Factors of Rebleeding with Obscure-Overt Gastrointestinal Bleeding
|
|
김종형/Kim JH
김영호/이선영/정현욱/이준행/손희정/이풍렬/김재준/이종철/Kim YH/Lee SY/Jung HW/Lee JH/Son HJ/Rhee PL/Kim JJ/Rhee JC
|
|
|
Abstract
|
|
|
Background/Aims: Little information is available on the rate and predictive factors of rebleeding of unknown cause, which is very important in deciding further investigations on obscure-overt gastrointestinal bleeding. The aim of this study was to evaluate the rebleeding rate and related factors in obscure-overt gastrointestinal bleeding
patients who revealed normal gastroscopic and colonoscopic findings.
Methods: A total of 69 patients with negative first-line gastroscopy and colonoscopy were enrolled in this study as obscure-overt gastrointestinal bleeding cases. The relationships between rebleeding and clinical characteristics were analyzed retrospectively.
Results: The causes of obscure-overt gastrointestinal bleeding were confirmed in 30 cases among the 69 cases. Small bowel tumors (14 cases) were the most common cause, followed by vascular lesions (6 cases). The mean follow-up period was 28 months and rebleeding was noticed in 19 patients (27.5%). Among these rebleeding
patients, 14 cases (73.7%) occurred within 6 months. The past experience of previous bleeding was significantly related with rebleeding (p=0.0009).
Conclusions: Close observation and detailed investigations are needed for obscure-overt gastrointestinal bleeding patients with bleeding history, especially during 6 months follow-up.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|