1.Upper digestive bleeding due to rare causes. Diagnosis and treatment
Journal of Preventive Medicine 2002;12(1):31-32
The study introduced 7 medical records of upper digestive bleeding in the Army Central Hospital 108. Bleeding occurred in position that easy to diagnose such as duodenum, esophageal, gastric small curve, etc... the causes of upper digestive bleeding include gastric and duodenal ulceration, gastric cancer, esophageal venous dilatation and rupture in patients with cirrhosis with the increase of portal pressure. Some other causes comprise the malignant lymphoma schawonnome or hepatoma, invasive pancreatic tumor into duodenal. It should have combination of endoscopy with biopsy, ultrasound, CT scanner to precisely diagnose.
Gastrointestinal Hemorrhage
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diagnosis
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therapeutics
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etiology
2.An audit of upper gastrointestinal bleeding at Seremban Hospital.
Lim TM ; Lu PY ; Meheshinder S ; Selvindoss P ; Balasingh D ; Ramesh J ; Qureshi A
The Medical Journal of Malaysia 2003;58(4):522-525
We retrospectively analyzed all patients presenting with upper gastrointestinal bleeding to Seremban Hospital over a one-year period. A quarter of the oesophagogastro-duodenoscopies (OGD) performed were performed as emergency for upper gastrointestinal tract bleeding. Gastric ulcers and duodenal ulcers were the two most common findings. Our results suggest that there is a male preponderance of 2:1, the Chinese were more likely to be affected and the elderly (> 60 years) were at highest risk.
Endoscopy, Gastrointestinal
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Gastrointestinal Hemorrhage/ethnology
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Gastrointestinal Hemorrhage/*etiology
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Gastrointestinal Hemorrhage/therapy
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Malaysia
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Retrospective Studies
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Risk Factors
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Sex Factors
4.Recent Update of Embolization of Upper Gastrointestinal Tract Bleeding.
Korean Journal of Radiology 2012;13(Suppl 1):S31-S39
Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventional embolotherapy. Endovascular embolotherapy is now considered the first-line therapy for massive UGI bleeding that is refractory to endoscopic management. Interventional radiologists need to be familiar with the choice of embolic materials, technical aspects of embolotherapy, and the factors affecting the favorable or unfavorable outcomes after embolotherapy for UGI bleeding.
Angiography
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Embolization, Therapeutic/*methods
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Endoscopy, Gastrointestinal
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Gastrointestinal Hemorrhage/etiology/*therapy
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Hemostasis, Endoscopic
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Humans
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*Upper Gastrointestinal Tract
5.Endoscope therapy of bleeding in portal hypertension.
Chinese Journal of Surgery 2008;46(22):1696-1698
8.Upper gastrointestinal bleeding and hyperglycemia induced by acute alcoholism in an infant.
Rong FU ; Xin-Hong QIAN ; Sheng-Quan CHENG ; Hua-Jie WU ; Zhao-Ling SHI ; Yu-Dong LIU
Chinese Journal of Contemporary Pediatrics 2012;14(9):713-714
Acute Disease
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Alcoholism
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complications
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Gastrointestinal Hemorrhage
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etiology
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Humans
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Hyperglycemia
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etiology
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Infant
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Male
9.Bleeding and hyperpyrexia in an adult with gastric inflammatory fibroid polyp.
Hong-yong HE ; Zhen-bin SHEN ; Yong FANG ; Yi-hong SUN ; Xin-yu QIN
Chinese Medical Journal 2013;126(13):2594-2594
Adult
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Fever
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etiology
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Gastrointestinal Hemorrhage
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etiology
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Humans
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Male
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Polyps
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complications
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Stomach Diseases
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complications
10.Cow's milk challenges in gastrointestinal cow's milk allergic diseases.
Tang LUJING ; Zhao HONG ; Chen JIE
Chinese Journal of Pediatrics 2015;53(4):285-289
OBJECTIVETo understand the clinical features of gastrointestinal cow's milk allergy in children, and to assess the importance of cow's milk challenge.
METHODAn analysis was performed on the clinical manifestations and the challenge results of 50 children who received cow's milk challenges after admission to the department of gastroenterology, Children' s Hospital of Zhejiang University School of Medicine from January,2009 to December, 2012. The value of immunoglobulin E antibody was also analyzed among the 50 children, 25 cases were male and the other 25 were female. The youngest subject was 1. 6 months old, and the oldest was 20 months, most of the cases were younger than 6 months (36 cases).
RESULT(1) Diarrhea (27 cases, 54%) and hematochezia (25 cases, 50%) were the most common clinical features, vomiting, hematemesis and abdominal distention were rare. (2) Cow's milk challenges failed in 58% of the cases, 90% of whom showed delayed allergy. Diarrhea (19 cases, 73%) was the major later presentation, whereas the immediate hypersensitivity showed angio-edema, gastrointestinal symptom and rash. (3) The neutrophil count ((3.8 ± 2.8) x 10(9)/L vs. (2.5 ± 1.3) x 10(9)/L) was higher after challenge among children who failed the challenge. The change in the count of blood cell, neutrophil and platelet was studied, however, there were no statistical differences between the challenge-failed children and the passed ones. (4) Forty-seven cases had milk specific immunoglobulin E antibody test, and 5 showed positive results, 4 of whom were seen among the challenge-failed children.
CONCLUSIONDiarrhea and hematochezia was the most common clinical manifestation, and cow's milk protein induced proctocolitis was the most common disease in practice. It is important and necessary to perform cow's milk challenge.
Animals ; Female ; Gastrointestinal Diseases ; etiology ; Gastrointestinal Hemorrhage ; etiology ; Hematemesis ; etiology ; Humans ; Hypersensitivity, Immediate ; immunology ; Infant ; Infant, Newborn ; Male ; Milk ; Milk Hypersensitivity ; immunology ; Vomiting ; etiology