Baccaro J C, González B A, Cupula C A
Acta Gastroenterol Latinoam. 1979;9(4):209-20.
In 11 years experience (67-78) we studied the importance of endoscopy in HDA. Were carried out 8300 esophagogastroduodenal endoscopies of which 2837 were HDA. The main reasons to follow these studies were: 1) Diagnostic of the HDA location; 2) Diagnostic of type of injury; 3) Injury intensity. Referring to the findings 30% were duodenal ulcer; 27% hemorrhagic gastritis; 17% gastric ulcer and 10% were due to VE. From the remaining 10% the most frequent were the esophagitis and gastric cancer. It is most important to show that aspiring added to alcohol in the most common cause of hemorrhagic gastritis. We have to point out that in 42 endoscopies performed in Intensive Care Service 10 of them were due to non-digestive causes. Through this method of diagnosis the Endoscopist has an important role to play in defining the prognosis and conduct to be followed.
在11年(1967 - 1978年)的经验中,我们研究了内镜检查在消化性出血(HDA)中的重要性。共进行了8300例食管胃十二指肠内镜检查,其中2837例为消化性出血。进行这些研究的主要原因是:1)确定消化性出血的位置;2)诊断损伤类型;3)评估损伤强度。根据检查结果,30%为十二指肠溃疡;27%为出血性胃炎;17%为胃溃疡,10%由静脉曲张引起。在其余10%中,最常见的是食管炎和胃癌。必须指出的是,阿司匹林与酒精共同作用是出血性胃炎最常见的病因。我们必须指出,在重症监护病房进行的42例内镜检查中,有10例是由非消化系统原因引起的。通过这种诊断方法,内镜医生在确定预后和后续治疗方案方面发挥着重要作用。