Clinical features and treatment of rare etiologies of upper gastrointestinal bleeding
10.3760/cma.j.issn.1008-1372.2016.07.018
- VernacularTitle:上消化道出血少见病因的临床特点及治疗
- Author:
Di LU
;
Yini LI
;
Minghao WU
;
Li YANG
;
Yuming YANG
;
Peng LIU
;
Zhan LIU
- Publication Type:Journal Article
- Keywords:
Gastrointestinal hemorrhage;
ET;
TH
- From:
Journal of Chinese Physician
2016;18(7):1025-1027,1030
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical features and treatment of upper gastrointestinal bleeding with rare etiologies.Methods A total of 45 cases with rare etiologies was selected from a group of 1200 patients with upper gastrointestinal bleeding admitted from January 2012 to December 2015.Results The incidence of gastric stromal tumor (24.4％) and Dieulafoy's lesion (20.0％) was the highest.Among rare etiologies of upper gastrointestinal bleeding were Mallory-Weiss syndrome (17.8％) and stomal ulcer and hemorrhage of efferent loops after subtotal gastrectomy (17.8％),as well as left-side portal hypertension (6.7％),liver cirrhosis complicated with variceal bleeding in the descending part of the duodenum (2.1％),esophageal hematoma (2.1％),esophageal mucosa avulsion (2.1％),P-J syndrome (2.1％),duodenal adenocarcinoma (2.1％),and cutaneous malignant melanoma with duodenal metastasis (2.1％).Conclusions Gastroscopy in early stages played a role in etiologies identification,while etiological treatments could substantially reduce recurrent bleeding rate,thus enhanced cure rate.Analysis on rare etiologies promoted the medical understanding,with clinical diagnosis and treatment improved.
