In:
Journal of Digestive Diseases, Wiley, Vol. 15, No. 1 ( 2014-01), p. 5-11
Abstract:
We aimed to describe the clinical picture, management and outcomes of Chinese patients with peptic ulcer bleeding (PUB), especially in those with high risks. Methods A multicenter endoscopic survey was conducted. All consecutive patients with endoscopy confirmed PUB from O ctober 2010 to J une 2011 were enrolled. Data including patients' gender, age, symptoms and endoscopic findings, F orrest classification, and endoscopic and medical treatment were documented. High‐risk ulcer was defined as F orrest grades Ia to IIb upon endoscopy. Rates of rebleeding, surgery and mortality were recorded. Results In all, 1006 patients were included. Of these 437 (43.4%) were categorized with high‐risk PUB, among whom 110 (25.2%) received endoscopic treatment, and the success rate was 99.1%. Rebleeding rates 1–3 days, 4–5 days and 6–30 days after treatment in high‐risk patients who did and did not receive endoscopic treatment were 10.9% versus 10.4%, 3.6% versus 3.7% and 0.9% versus 1.5%, respectively. The surgery rates of high‐risk patients with or without endoscopic treatment were 1.8% (2/110) versus 1.8% (6/327). During the 9‐month study period, two patients with high‐risk PUB died, therefore, the overall mortality rate of high‐risk PUB was 0.5% (2/437). Conclusion The study suggests that the proportions of high‐risk PUB in China is 43.4%, while rebleeding and surgery rate after endoscopic treatment as well as the mortality rate of high‐risk PUB in C hina are 15.6%, 1.8% and 0.5%, respectively.
Type of Medium:
Online Resource
ISSN:
1751-2972
,
1751-2980
DOI:
10.1111/cdd.2014.15.issue-1
DOI:
10.1111/1751-2980.12104
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
2317117-0
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