Diagnostic and therapeutic value of emergency gastroscopy for upper gastrointestinal bleeding combined with post percutaneous coronary intervention
10.3760/cma.j.cn321463-20201010-00822
- VernacularTitle:急诊胃镜对经皮冠状动脉介入术后合并上消化道出血的诊治价值
- Author:
Peixue WANG
1
;
Weiguo DONG
;
Zhou LIU
;
Mingwei CAO
;
Xiaoping TAN
Author Information
1. 武汉大学人民医院消化内科，武汉 430060
- Keywords:
Hemostasis, endoscopic;
Emergency gastroscopy;
Percutaneous coronary intervention;
Upper gastrointestinal bleeding
- From:
Chinese Journal of Digestive Endoscopy
2022;39(2):146-148
- CountryChina
- Language:Chinese
-
Abstract:
From June 2015 to June 2020, 52 patients who underwent emergency gastroscopy and treatment for upper gastrointestinal bleeding after percutaneous coronary intervention (PCI) at the Renmin Hospital of Wuhan University were included and retrospectively analyzed. The etiologic diagnosis of bleeding, results of hemostatic treatment and occurrence of complications during the emergency gastroscopy were observed. Among the 52 patients, 47 cases (90.4%) were found to have lesions that could explain upper gastrointestinal bleeding under emergency gastroscopy, and the remaining 5 cases (9.6%) could not clearly diagnose the cause of bleeding. Twenty-six cases (50.0%) were treated with emergency endoscopic hemostasis, of which 25 cases (96.2%) were successful. The median time for emergency endoscopy was 18 min. Seven cases (13.5%) had transient slowing of heart rate and lowering of blood pressure without serious complications. This shows that emergency gastroscopy is safe and effective in the diagnosis and treatment of upper gastrointestinal bleeding combined with post-PCI.
