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  • Peptična razjeda - najpogostejši vzrok krvavitve iz prebavne cevi = Peptic ulcer - the most frequent source of gastrointestinal hemorrhage
    Skok, Pavel
    Background. Peptic ulcer hemorrhage is the most frequent source of gastrointestinal bleeding. The aim of the present study was to investigate thefrequency of peptic ulcer bleeding in a 3-year period ... and to evaluate the risk factors in this type of bleeding. Patients and methods. The prospective study includes patients with peptic ulcer hemorrhage in which interventional endoscopy of the upper digestive tract was carried out between 1 January 1994 and 31 December 1996. Results. 2150 patients with gastrointestinal hemorrhage were investigated: 797 women and 1353 men. In 1856 patients (86.3%) we confirmed upper gastrointestinal tract hemorrhage. Complications of ulcer disease were the cause of hemorrhage in 863 patients (863/1856, 46.5%). The average age of our patients was 58 years (a 16-97 year span, SD +-16). Transendoscopic hemostasis with injection sclerotherapy (diluted adrenalin 1: 10,000 plus polidocanol 1%, Sclerovein preparation) and Nd-Yag laser (Medilas 2, MBB) photocoagulation was carried out in 381 cases (381/863, 44.1%). Repeated endoscopic hemostasis failed in 29 patients (29/381, 7.6%). Twelve patients (12/381, 3.1%) died during their hospital stay at medical wards. These deaths were the direct result of reebleeding. In 17 patients with acute hemorrhage (17/381, 4.5%) endoscopic hemostasis (in all cases injection sclerotherapy), did not prove successful and were treated operatively. During the postoperative period, 5 patients (5/17, 29.4%) died because of complication. The overall mortality rate of patients, treated with endoscopic hemostasis, was 6.5% (25/381), 2.6% (10/381) died already during the course oftreatment at the Medical ICU or after surgical treatment. Conclusions. Peptic ulcer disease is the most significant cause of gastrointestinal hemorrhage. (Abstract truncated at 2000 characters.)
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 68, št. 7/8, jul.-avg. 1999, str. 415-419)
    Vrsta gradiva - članek, sestavni del
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 10420441

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