Orthograde Lavage in the Treatment Policy of Acute Intestinal Bleeding

Autor:	K. H. Treutner, W. Bongartz, N. Soehendra, Volker Schumpelick, G. Arlt, G. Winkeltau, G. Steinau
Rok vydání:	1990
Předmět:	medicine.medical_specialty Lower gastrointestinal bleeding medicine.diagnostic_test business.industry Mortality rate Gastroenterology Colonoscopy medicine.disease Group B Surgery Endoscopy Anesthesia Angiography medicine Elective surgery Adverse effect business
Zdroj:	Digestive Surgery. 7:142-147
ISSN:	1421-9883 0253-4886
DOI:	10.1159/000171960
Popis:	A new diagnostic and therapeutic schedule including orthograde lavage as a major element was applied to 97 patients. It provided excellent conditions for a specific use of diagnostic procedures without any adverse side effects. Cases with active severe bleeding underwent angiography; patients with inactive or low-intensity bleeding underwent colonoscopy. This enabled to radiographically visualize the bleeding source in 92% of the cases and to increase the predictive value of endoscopy to 98%. Two different therapeutic procedures were used. In one group of patients (group A; n = 62) endoscopic injection therapy was performed as a definitive step whenever possible. The other patients of this group underwent emergency surgery. A second group of patients (group B; n = 35) underwent endoscopic therapy only for a temporary control of the bleeding, followed by early elective surgery. Mortality rates were 5% in group A and 6% in group B.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6c926dafc529aeeba2eea3a9b4423679 https://doi.org/10.1159/000171960 Zobrazit plný text záznamu