Padmanabhan A, Douglass H O, Nava H R
Endoscopy. 1980 May;12(3):101-4. doi: 10.1055/s-2007-1021721.
A retrospective review of upper gastrointestinal bleeding in 55 patients with malignant disease is presented here. Major causative factors seem to be superficial gastritis and gastric erosions. With aggressive endoscopy, a diagnostic accuracy of 90 percent has been achieved. However, having the exact diagnosis too often has little significance on the final outcome of these critically ill patients, unless therapy directed against bleeding can provide time for effective antineoplastic treatment. With the better understanding of the pathology of the superficial gastric erosions, a better program of management can be evolved.
本文对55例恶性疾病患者的上消化道出血进行了回顾性研究。主要病因似乎是浅表性胃炎和胃糜烂。通过积极的内镜检查，诊断准确率已达到90%。然而，对于这些重症患者的最终结局，常常明确诊断并无太大意义，除非针对出血的治疗能够为有效的抗肿瘤治疗争取时间。随着对浅表性胃糜烂病理的更好理解，可以制定出更好的治疗方案。
