[The prognostic value of the endoscopic signs in the recurrence of peptic ulcer hemorrhage].
The endoscopic signs of hemorrhage in bleeding peptic ulcers are considered as prognostic factors for rebleeding and mortality. The value of these signs has been examined in several studies of patients with known high risk factors. In this survey, we studied the prognostic value of the endoscopic signs of hemorrhage in bleeding peptic ulcer in a group of patients without clinical risk factors such as age > 60 years, concomitant malignancy or respiratory and heart disease. Endoscopic findings were examined in fifty patients without rebleeding (group I) and twenty five with rebleeding (group II). Endoscopic findings results were spurting arterial bleeding in 9.3% of the cases, oozing hemorrhage in 17.3% of the cases, visible vessel in 9.3% of the cases, and adherent clot in 82.3% of the cases. In 9.3% of the cases endoscopic findings were negative. No statistical differences were found in the endoscopic signs among the two groups. The visible vessel and the spurting arterial bleeding cases presented in more than 50% of the rebleeding, (visible vessel and spurting arterial 57.1%). Oozing hemorrhage and the adherent clot were present in 30% of the cases. The endoscopic signs of bleeding can assist in choosing the group of patients with prospective high risk of rebleeding and possible candidates for the new treatment of endoscopic hemostatic therapy.
Presa Valle
M
M
Servicio de Aparato Digestivo, Hospital La Paz, Madrid.
González Murillo
M
M
Erdozain Sosa
J C
JC
Del Rey Sanz
R
R
Berges Magaña
M A
MA
Castillo Grau
P
P
Muñoz Núñez
F
F
Rodríguez Blanes
J A
JA
González García
M D
MD
D000328:Adult; D004381:Duodenal Ulcer / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006396:Hematemesis / Q000175:diagnosis / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis* / Q000401:mortality; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D013276:Stomach Ulcer / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D013997:Time Factors
Valor pronóstico de los signos endoscópicos en la recidiva de la hemorragia por ulcus péptico.