THE CAUSES OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH ESOPHAGEAL VARICES REPORT OF 161 NONALCHOLIC CASES

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SAADATNIA H.

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Journal Paper

Paper Information

Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2004 | Volume:47 | Issue:83 Page(s): 96-100

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Title

THE CAUSES OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH ESOPHAGEAL VARICES REPORT OF 161 NONALCHOLIC CASES

Author(s)

SAADATNIA H. | Issue Writer Certificate

Keywords

ESOPHAGEAL VARICESQ2

CIRRHOSISQ3

UPPER GASTROINTESTINAL BLEEDINGQ4

Abstract

Introduction: It is generally appreciated and continues to be cited in standard textbooks of medicine that the source of UPPER GASTROINTESTINAL BLEEDING (UGIB) in-patients with ESOPHAGEAL VARICES (EV) is usually nonvariceal. Although some recent reports are not in agreement with this conclusion, these reports come from western countries in which ethanol is the leading cause of CIRRHOSIS and (EV). Alcohol per se has many acute and chronic effects on esophagogastroduodernal mucosa, which may be a source of (UGIB). Therefore conclusions regarding the source of (UGIB) in these patients may not be necessarily true in nonalcoholics with portal hypertension (PH) and (EV).Material and Method: The aim of this study is to define the sources of (UGIB) in nonalcoholic patients with (PH) an (EV).Emergency endoscopy was carried out in 161 nonalcoholic patients with CIRRHOSIS and (EV) within 24 hours of a major (UGIB) during a nine years period (1994 - 2002). Accepted endoscopic criteria for definition of (PHG) mucosal erosions ... were used.Results: In 153 cases (95%) endoscopy was successful and source of (UGIB) was Clearly documented. In 124 cases (81.1%) varices were the source of bleeding and 29 patients (18.9%) had nonvariceal bleeding.Conclusion: A variety of acute and chronic lesions made up the non-variceal group (DU=41.37%,Garstric and/or duodenal erosions = 27.58% PHG = 20.68%, GU = 10.36%).In contrast to western reports, source of (UGIB) in Iranian nonalcoholic patients with (PH) and (EV) is usually variceal.

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APA: Copy

SAADATNIA, H.. (2004). THE CAUSES OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH ESOPHAGEAL VARICES REPORT OF 161 NONALCHOLIC CASES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 47(83), 96-100. SID. https://sid.ir/paper/51310/en

Vancouver: Copy

SAADATNIA H.. THE CAUSES OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH ESOPHAGEAL VARICES REPORT OF 161 NONALCHOLIC CASES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;47(83):96-100. Available from: https://sid.ir/paper/51310/en

IEEE: Copy

H. SAADATNIA, “THE CAUSES OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH ESOPHAGEAL VARICES REPORT OF 161 NONALCHOLIC CASES,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 47, no. 83, pp. 96–100, 2004, [Online]. Available: https://sid.ir/paper/51310/en

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