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Literature DB >> 3873382

Conservative treatment of gastrointestinal haemorrhage.

S B Rofe, J M Duggan, E R Smith, C J Thursby.

Abstract

The Gastroenterology Unit of the Royal Newcastle Hospital treats all acute bleeders in the hospital and has followed a policy of conservative blood transfusion and early surgery directed to gastric ulcer upon rebleeding. A prospective study of 201 consecutive episodes is presented and compared with recent series treated more conventionally. Our patients were transfused less, and operated upon less often with a lower mortality rate in those with chronic peptic ulcers. The data suggest that a reversion to the less aggressive treatment policies of several decades ago, combined with early limited surgery directed to endoscopically proven gastric ulcer is worthy of trial.

Entities: Disease Species

Mesh：

Year: 1985 PMID： 3873382 PMCID： PMC1432644 DOI： 10.1136/gut.26.5.481

Source DB: PubMed Journal: Gut ISSN： 0017-5749 Impact factor: 23.059

12 in total

Conservative treatment of gastrointestinal haemorrhage.

1. Haematemesis and melaena, with special reference to bleeding peptic ulcer.

2. Mortality in patients with haematemesis and melaena: a prospective study.

3. Acute gastro-intestinal haemorrhage. Prognostic factors on a conservative regime.

4. The experience of a haematemesis and melaena unit: a review of the first 513 consecutive admissions.

5. Stopping the haemorrhage from peptic ulcers.

6. Comparison of surgical and medical management of bleeding peptic ulcers.

7. Acute gastric ulceration--a prospective study of incidence and results of management.

8. Death in acute upper gastrointestinal bleeding. Can endoscopy reduce mortality?

9. Haematemesis and melaena, with special reference to factors influencing the outcome.

10. Effect of different operation policies on mortality from bleeding peptic ulcer.

Review 1. Upper gastrointestinal bleeding--when to operate.

2. Reduction of surgery and mortality rate of bleeding peptic ulcer by endoscopic haemostasis with alcohol.

3. Characteristics and outcomes of upper gastrointestinal hemorrhage in a tertiary referral hospital.

4. The impact of HIV testing on blood utilization in the intensive care unit in patients with gastrointestinal bleeding.

5. Bleeding peptic ulcer: an audit of conservative management.