内镜下上消化道出血的病因学

J. Khan, Muhammad Ali, Hareem Bakhsh Sobhi, S. M. Waheed, Ifrah Shahnawaz, M. Abdullah, Sardar Muhammad Omer Naseem, O. Kamal, F. Bashir, M. Nadeem
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引用次数: 2

摘要

背景:几种情况和条件导致UGIB。其中最常见的是消化性溃疡,约占50%。第二个主要原因可能是食管癌静脉曲张,第三个主要原因是静脉曲张。也有其他原因,可能包括糜烂、肿瘤和其他畸形,如动静脉畸形。方法:这是一项观察性回顾性研究,涉及所有内窥镜检查患者。研究排除标准包括所有在前一次内镜检查后一个月内重复内镜检查的患者,而所有UGIB患者均包括在本研究中。结果:我们检索了2015年3月至2016年2月期间共150例上消化道内窥镜检查患者的数据。患者平均年龄43.3±13.80岁。其中男性80例(53.3%),女性70例(46.7%)。UGIB病因探讨以食管静脉曲张居多,68例(45.3%),男女比例为2:1。排在第二位的是食管炎(22例,占14.67%),男性和女性的病因分布相似。结论:我们可以从我们的研究结果中得出结论,UGIB最常见的原因是食管静脉曲张。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Etiology of Upper GI Bleeding on Endoscopy
Background: Several circumstances and conditions lead to UGIB. The commonest among them peptic ulcer to an approximation of 50% in cases. The second major cause may be esoghageal varices and third is mallory-weis tears. There are also other causes, which may include erosins, tumors and other malformations like arteriovenous. Methods: This was an observational retrospective study of all patients referred to endoscopy. The study exclusion criteria include all patients who had repeat endoscopies within one month of the previous endoscopy whereas all the patients with UGIB were included in this study. Results: We retrieved data of total 150 patients who had experienced upper gastrointestinal endoscopy during the selected time period covered in the study, March 2015 to February 2016. The mean age of the patients was 43.3 ± 13.80. 80 (53.3%) of the patients were male and 70 (46.7%) were females. Exploring more into UGIB causes the majority of patients were with esophageal varices 68 (45.3%) with male to female share was 2:1. The second most cause was esophagitis (n = 22, (14.67%)), the distribution of the cause was similar in male to female. Conclusion: We may conclude from our findings that the most common cause of UGIB is esophageal varices in our population.
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