Clinical analysis of the relationship between hemorrhage and position of stigmata in patients with esophageal varices
10.3760/cma.j.issn.1007-5232.2018.06.004
- VernacularTitle:食管静脉曲张大出血与血栓头位置的临床分析
- Author:
Lailin FU
1
;
Shaohua SHEN
;
Yingdi LIU
;
Guohui SUN
;
Juan WANG
;
Shuai ZHANG
;
Jing YANG
;
Enqiang LINGHU
Author Information
1. 解放军总医院消化内科
- Keywords:
Esophageal and gastric varices;
Hemorrhage;
Active bleeding;
Stigmata
- From:
Chinese Journal of Digestive Endoscopy
2018;35(6):396-399
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predisposing locations of active hemorrhage in patients with esophageal variceal bleeding. Methods Data of 823 patients with acute esophageal and gastric variceal hemorrhage receiving emergency gastroscopy diagnosed from January 2003 to December 2013 were retrospectively studied. The location and site of active hemorrhage or stigmata were analyzed and its relationship with active hemorrhage was discussed. Results A total of 372(45. 2%,372/823) patients with active bleeding and stigmata were found under emergency endoscopy. Among 372 patients, 190 got accurate hemorrhage and stigmata location and site description. Bleeding or stigmata in 58(30. 5%) patients was 28-32 cm from incisor in group A, and that in 132 (69. 5%) patients was more than 35 cm in group B ( χ2＝57. 642, P＜0. 000 1). In 190 cases, the proportion of bleeding or stigmata at 3:00 point was the highest (37%,70/132), followed by those at 12:00 point(30%,58/132),6:00 point(24%,45/132),and 9:00 point (9%,17/132). The change trend of the percentage of each point in group A and group B was the same as that in all cases. The percentage of almost all points in group B was significantly higher than that in group A except that at 9:00 point ( P＜0. 000 1).Conclusion Esophageal variceal bleeding in cirrhosis is more common at 3:00 point, 6:00 point and 12:00 point of esophagus, and the high risk area is 35 cm below the incisors.
