Same-Day Upper and Lower Endoscopy in Patients with Occult Bleeding, Melena, Hematochezia, and/or Microcytic Anemia: A Retrospective Study of 224 Patients
| Autor: | G. Järnerot, G. Alemayehu |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastrointestinal bleeding Time Factors Microcytic anemia Colonoscopy Gastroenterology Melena Internal medicine medicine Humans Endoscopy Digestive System Duodenoscopy Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Incidence Anemia Middle Aged medicine.disease Hematochezia Endoscopy Occult Blood Female medicine.symptom Gastrointestinal Hemorrhage business |
| Zdroj: | Scandinavian Journal of Gastroenterology. 28:667-672 |
| ISSN: | 1502-7708 0036-5521 |
| DOI: | 10.3109/00365529309098269 |
| Popis: | The purpose of this study was to evaluate the role of same-day upper and lower endoscopy in patients investigated for non-acute gastrointestinal bleeding, manifested by occult bleeding, melena, or hematochezia and/or anemia suspected to be caused by gastrointestinal bleeding. A total of 224 patients, 127 women and 97 men, were reviewed. A potential bleeding source (PBS) in the upper gastrointestinal tract could have been missed in 25% of the patients if only colonoscopy had been performed. In nearly the same proportion of patients (26%) a potential bleeding source could have been missed if only esophagogastroduodenoscopy had been performed. Nine per cent of the patients had a potential bleeding source in both locations. Forty-six per cent (19 of 41) of the patients with a PBS in colon, other than colonic cancer, had a PBS also in the upper gastrointestinal tract. The chance of finding a potential bleeding source in patients with microcytic anemia and positive Hemoccult test is threefold higher than for the patients with microcytic anemia and negative Hemoccult test and twofold higher than in patients with normal blood hemoglobin value but positive Hemoccult test. Moreover, 22% (8 of 36) of the patients with microcytic anemia and a positive Hemoccult test had colonic carcinoma. Approximately 30% of the patients with a PBS had two or more PBSs in one or more organs. Eighteen per cent of 43 patients with a history of upper gastrointestinal symptoms had a PBS in the upper gastrointestinal tract. The corresponding figure for the patients without a history of upper gastrointestinal symptoms was 29%.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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