[Role of surgery in the treatment of acute hemorrhagic non-variceal lesions in the upper gastrointestinal tract].
From January 1993 to December 1994, out of 244 cases of upper gastrointestinal hemorrhage observed 25 patients underwent surgical treatment. Twenty-nine bleeding varices were excluded from this study. Early endoscopy revealed the source of bleeding almost in all cases (84%). All patients received, at the time of admission, medical treatment associated in 7 cases (28%) to endoscopic injection therapy. Emergency surgery indications were massive bleeding persistent bleeding, rebleeding and macroscopic findings of lesions. The aim of this report is to verify the respective roles of medical, endoscopic and surgical therapies in relation to the nature of the bleeding lesion and the entity of the hemorrhage. Results with regard to indication, clinical data, surgical technique were compared with literature data.
Pinelli
D
D
II Divisione di Chirurgia Generale, Spedali Civili di Brescia.
Vaiana
R
R
Ghedi
M
M
Piccini
I
I
Pasini
M
M
Roncali
S
S
Ragni
F
F
Braga
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004381:Duodenal Ulcer / Q000150:complications; D004382:Duodenitis / Q000150:complications; D004724:Endoscopy; D005260:Female; D005756:Gastritis / Q000150:complications; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000150:complications; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000601:surgery; D013276:Stomach Ulcer / Q000150:complications
Ruolo della chirurgia nel trattamento delle lesioni emorragiche acute non varicose del tratto gastro-intestinale superiore.