Manildo M, Valesano G
U.S.S.L. n. 66, Ospedale S. Croce, Mondovì, Cuneo.
Minerva Med. 1989 Nov;80(11):1211-4.
After a short examination of data in the literature, the paper presents a retrospective analysis of 340 patients who underwent endoscopic examination for upper gastrointestinal haemorrhage. Among them, 123 underwent emergency and 112 elective endoscopy. A source of active or recent bleeding was identified in 87.5% of the cases. Emergency endoscopy showed a clearcut diagnostic superiority over elective endoscopy, and endoscopy as a whole was more efficient than conventional radiology. The most commonly observed bleeding lesions were found in the duodenum and stomach followed by oesophageal varices. The value of an early endoscopic approach to the diagnosis and treatment of upper gastrointestinal haemorrhage is confirmed.
在对文献中的数据进行简要研究之后，本文对340例因上消化道出血接受内镜检查的患者进行了回顾性分析。其中，123例接受了急诊内镜检查，112例接受了择期内镜检查。87.5%的病例中确定了活动性出血或近期出血的来源。急诊内镜检查相对于择期内镜检查显示出明显的诊断优势，而且内镜检查总体上比传统放射学更有效。最常见的出血病变位于十二指肠和胃，其次是食管静脉曲张。早期内镜检查对上消化道出血进行诊断和治疗的价值得到了证实。
