The Simple Predictive Factors of Emergency Endoscopy for Non-variceal Acute Upper Gastrointestinal Bleeding.
10.7704/kjhugr.2011.11.1.37
- Author:
Seung Min LEE
1
;
Sang Ho LEE
;
Sung Jun KIM
;
Hye Won PARK
;
Hyoung Su KIM
;
Kyoung Ho KIM
;
Myoung Kuk JANG
;
Jin Heon LEE
;
Hak Yang KIM
;
Woon Geon SHIN
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. sgun91@medimail.co.kr
- Publication Type:Original Article
- Keywords:
Gastrointestinal hemorrhage;
Endoscopy;
Intubation, gastrointestinal
- MeSH:
Blood Pressure;
Digital Rectal Examination;
Emergencies;
Endoscopy;
Gastrointestinal Hemorrhage;
Heart;
Hemoglobins;
Hemorrhage;
Humans;
Intubation, Gastrointestinal;
Medical Records;
Prothrombin Time;
Retrospective Studies;
Syncope
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2011;11(1):37-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Although endoscopy is an important diagnostic method for acute upper gastrointestinal bleeding (AUGIB), the guideline of emergency endoscopy for AUGIB is not yet established. This study was performed to assess the predictive factors of emergency endoscopy for non-variceal AUGIB. MATERIALS AND METHODS: From June 2006 to December 2008, the medical records of 283 patients with non-variceal AUGIB treated in Kangdong Sacred Heart Hospital were retrospectively analyzed. Patients were divided into two groups: emergency endoscopic procedure group or non-procedure group. We compared the factors for predicting the necessity of emergency endoscopic hemostasis. RESULTS: Among 283 patients, 194 were in the emergency endoscopic procedure group and 89 were in the non-procedure group. No significant differences in age, co-morbidities, drug history, and chief complaints were observed. After adjustment of several factors including syncope, systolic blood pressure, nasogastric (NG) tube irrigation and digital rectal examination findings, hemoglobin decline of more than 2 g/dL after 6 hours, prothrombin time, BUN and BUN/creatinine ratio that showed significant differences between the two groups, bloody NG aspiration was the only significant predictive factor (hazard ratio 13.69: P<0.001). CONCLUSIONS: Bloody NG aspiration was a simple factor for predicting emergent endoscopic procedure in non-variceal AUGIB patients.
