CURRENT STATUS OF ENDOSCOPIC MANAGEMENT FOR NONVARICEAL UPPER GASTROINTESTINAL BLEEDING
Endoscopic hemostasis is widely performed for nonvariceal upper gastrointestinal (UGI) bleeding. As the aged Japanese population rapidly increases, the number of patients experiencing complications increases. The aim of this study was to evaluate the recent results of endoscopic hemostasis for nonva...
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| Veröffentlicht in: | Digestive endoscopy 2010-07, Vol.22 (s1), p.S26-S30 |
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| creator | Kawamura, Takuji Yasuda, Kenjiro Morikawa, Soichiro Itonaga, Masahiro Nakajima, Masatsugu |
| description | Endoscopic hemostasis is widely performed for nonvariceal upper gastrointestinal (UGI) bleeding. As the aged Japanese population rapidly increases, the number of patients experiencing complications increases. The aim of this study was to evaluate the recent results of endoscopic hemostasis for nonvariceal UGI bleeding. A retrospective analysis of patients who underwent endoscopic procedures for nonvariceal UGI bleeding was performed. We performed 223 endoscopic procedures on 217 patients between January 1995 and July 2000, and 238 endoscopic procedures on 236 patients between January 2006 and September 2009 at the Kyoto Second Red Cross Hospital. We divided the patients into the 1995–2000 group and the 2006–2009 group. Patient characteristics, hemostasis methods chosen, rates of temporary hemostasis and rebleeding, and mortality were analyzed. There were many serious and actively bleeding cases in the 2006–2009 group (P |
| doi_str_mv | 10.1111/j.1443-1661.2010.00972.x |
| format | Article |
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As the aged Japanese population rapidly increases, the number of patients experiencing complications increases. The aim of this study was to evaluate the recent results of endoscopic hemostasis for nonvariceal UGI bleeding. A retrospective analysis of patients who underwent endoscopic procedures for nonvariceal UGI bleeding was performed. We performed 223 endoscopic procedures on 217 patients between January 1995 and July 2000, and 238 endoscopic procedures on 236 patients between January 2006 and September 2009 at the Kyoto Second Red Cross Hospital. We divided the patients into the 1995–2000 group and the 2006–2009 group. Patient characteristics, hemostasis methods chosen, rates of temporary hemostasis and rebleeding, and mortality were analyzed. There were many serious and actively bleeding cases in the 2006–2009 group (P < 0.001). The endoclip method and intravenous proton pump inhibitor were mainly used in the 2006–2009 group compared with the drug‐injection method and intravenous H2 receptor antagonist in the 1995–2000 group (P < 0.001). Through these treatments, the two groups were able to obtain similar treatment outcomes. Through the progress of endoscopic management we obtained similar satisfactory results in the 2006–2009 group, which had multiple complicated cases, compared to the 1995–2000 group.</description><identifier>ISSN: 0915-5635</identifier><identifier>EISSN: 1443-1661</identifier><identifier>DOI: 10.1111/j.1443-1661.2010.00972.x</identifier><identifier>PMID: 20590767</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; endoclip ; endoscopic hemostasis ; Female ; Gastrointestinal Hemorrhage - epidemiology ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - surgery ; Hemostasis, Endoscopic ; Humans ; Incidence ; Japan - epidemiology ; Male ; Middle Aged ; physical status ; proton pump inhibitor ; Recurrence ; Retrospective Studies ; Survival Rate - trends ; Treatment Outcome ; upper gastrointestinal bleeding ; Young Adult</subject><ispartof>Digestive endoscopy, 2010-07, Vol.22 (s1), p.S26-S30</ispartof><rights>2010 The Authors. Journal compilation © 2010 Japan Gastroenterological Endoscopy Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5002-5ec46a7acf85d8ead651c5d55fc2eafaa99b4121c5640df24e9da14ce7709afc3</citedby><cites>FETCH-LOGICAL-c5002-5ec46a7acf85d8ead651c5d55fc2eafaa99b4121c5640df24e9da14ce7709afc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1443-1661.2010.00972.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1443-1661.2010.00972.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20590767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawamura, Takuji</creatorcontrib><creatorcontrib>Yasuda, Kenjiro</creatorcontrib><creatorcontrib>Morikawa, Soichiro</creatorcontrib><creatorcontrib>Itonaga, Masahiro</creatorcontrib><creatorcontrib>Nakajima, Masatsugu</creatorcontrib><title>CURRENT STATUS OF ENDOSCOPIC MANAGEMENT FOR NONVARICEAL UPPER GASTROINTESTINAL BLEEDING</title><title>Digestive endoscopy</title><addtitle>Dig Endosc</addtitle><description>Endoscopic hemostasis is widely performed for nonvariceal upper gastrointestinal (UGI) bleeding. As the aged Japanese population rapidly increases, the number of patients experiencing complications increases. The aim of this study was to evaluate the recent results of endoscopic hemostasis for nonvariceal UGI bleeding. A retrospective analysis of patients who underwent endoscopic procedures for nonvariceal UGI bleeding was performed. We performed 223 endoscopic procedures on 217 patients between January 1995 and July 2000, and 238 endoscopic procedures on 236 patients between January 2006 and September 2009 at the Kyoto Second Red Cross Hospital. We divided the patients into the 1995–2000 group and the 2006–2009 group. Patient characteristics, hemostasis methods chosen, rates of temporary hemostasis and rebleeding, and mortality were analyzed. There were many serious and actively bleeding cases in the 2006–2009 group (P < 0.001). The endoclip method and intravenous proton pump inhibitor were mainly used in the 2006–2009 group compared with the drug‐injection method and intravenous H2 receptor antagonist in the 1995–2000 group (P < 0.001). Through these treatments, the two groups were able to obtain similar treatment outcomes. Through the progress of endoscopic management we obtained similar satisfactory results in the 2006–2009 group, which had multiple complicated cases, compared to the 1995–2000 group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>endoclip</subject><subject>endoscopic hemostasis</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - epidemiology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - surgery</subject><subject>Hemostasis, Endoscopic</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>physical status</subject><subject>proton pump inhibitor</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Survival Rate - trends</subject><subject>Treatment Outcome</subject><subject>upper gastrointestinal bleeding</subject><subject>Young Adult</subject><issn>0915-5635</issn><issn>1443-1661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF9PwjAUxRujUfzzFczefBq2pd1o4sscZSxCR7ahj03tugQEwVUifns7QZ69L70595zT5AeAh2AXublfdBEhPR8FAepi6FQIWYi7uxPQOR5OQQcyRH0a9OgFuLR2ASHCjJBzcIEhZTAMwg54iWd5zkXpFWVUzgovG3pcDLIizqZp7E0iESV80t6HWe6JTDxHeRrzaOzNplOee0lUlHmWipIXZSqc_DjmfJCK5Bqc1Wppzc3hvQKzIS_jkT_OkjSOxr6mEGKfGk0CFSpd92nVN6oKKNK0orTW2KhaKcZeCcJOCwisakwMqxQi2oQhZKrWvStwt-_dNOuPrbGfcjW32iyX6t2st1aGhEGMEe07Z3_v1M3a2sbUctPMV6r5lgjKlqpcyBaebOHJlqr8pSp3Lnp7-GT7ujLVMfiH0Rke9oav-dJ8_7tYDrhwi4v7-_jcfprdMa6aN-nKQypfRCKDaTxETxMsR70fqBiNjQ</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Kawamura, Takuji</creator><creator>Yasuda, Kenjiro</creator><creator>Morikawa, Soichiro</creator><creator>Itonaga, Masahiro</creator><creator>Nakajima, Masatsugu</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>CURRENT STATUS OF ENDOSCOPIC MANAGEMENT FOR NONVARICEAL UPPER GASTROINTESTINAL BLEEDING</title><author>Kawamura, Takuji ; Yasuda, Kenjiro ; Morikawa, Soichiro ; Itonaga, Masahiro ; Nakajima, Masatsugu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5002-5ec46a7acf85d8ead651c5d55fc2eafaa99b4121c5640df24e9da14ce7709afc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>endoclip</topic><topic>endoscopic hemostasis</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - epidemiology</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - surgery</topic><topic>Hemostasis, Endoscopic</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>physical status</topic><topic>proton pump inhibitor</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Survival Rate - trends</topic><topic>Treatment Outcome</topic><topic>upper gastrointestinal bleeding</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawamura, Takuji</creatorcontrib><creatorcontrib>Yasuda, Kenjiro</creatorcontrib><creatorcontrib>Morikawa, Soichiro</creatorcontrib><creatorcontrib>Itonaga, Masahiro</creatorcontrib><creatorcontrib>Nakajima, Masatsugu</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawamura, Takuji</au><au>Yasuda, Kenjiro</au><au>Morikawa, Soichiro</au><au>Itonaga, Masahiro</au><au>Nakajima, Masatsugu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CURRENT STATUS OF ENDOSCOPIC MANAGEMENT FOR NONVARICEAL UPPER GASTROINTESTINAL BLEEDING</atitle><jtitle>Digestive endoscopy</jtitle><addtitle>Dig Endosc</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>22</volume><issue>s1</issue><spage>S26</spage><epage>S30</epage><pages>S26-S30</pages><issn>0915-5635</issn><eissn>1443-1661</eissn><abstract>Endoscopic hemostasis is widely performed for nonvariceal upper gastrointestinal (UGI) bleeding. As the aged Japanese population rapidly increases, the number of patients experiencing complications increases. The aim of this study was to evaluate the recent results of endoscopic hemostasis for nonvariceal UGI bleeding. A retrospective analysis of patients who underwent endoscopic procedures for nonvariceal UGI bleeding was performed. We performed 223 endoscopic procedures on 217 patients between January 1995 and July 2000, and 238 endoscopic procedures on 236 patients between January 2006 and September 2009 at the Kyoto Second Red Cross Hospital. We divided the patients into the 1995–2000 group and the 2006–2009 group. Patient characteristics, hemostasis methods chosen, rates of temporary hemostasis and rebleeding, and mortality were analyzed. There were many serious and actively bleeding cases in the 2006–2009 group (P < 0.001). The endoclip method and intravenous proton pump inhibitor were mainly used in the 2006–2009 group compared with the drug‐injection method and intravenous H2 receptor antagonist in the 1995–2000 group (P < 0.001). Through these treatments, the two groups were able to obtain similar treatment outcomes. Through the progress of endoscopic management we obtained similar satisfactory results in the 2006–2009 group, which had multiple complicated cases, compared to the 1995–2000 group.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>20590767</pmid><doi>10.1111/j.1443-1661.2010.00972.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Child endoclip endoscopic hemostasis Female Gastrointestinal Hemorrhage - epidemiology Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Hemostasis, Endoscopic Humans Incidence Japan - epidemiology Male Middle Aged physical status proton pump inhibitor Recurrence Retrospective Studies Survival Rate - trends Treatment Outcome upper gastrointestinal bleeding Young Adult |
| title | CURRENT STATUS OF ENDOSCOPIC MANAGEMENT FOR NONVARICEAL UPPER GASTROINTESTINAL BLEEDING |
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