Emergency Diagnosis of Upper Gastrointestinal Bleeding by Fiberoptic Endoscopy
Open Access
- 1 March 1977
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 185 (3), 367-374
- https://doi.org/10.1097/00000658-197703000-00019
Abstract
Emergency esophagogastroduodenoscopy has been performed in 192 consecutive patients admitted with massive gastrointestinal bleeding. Accurate endoscopic diagnosis was made in 184 or 96%; 58 patients underwent emergency operations to control bleeding with an overall operative mortality of 26%. Excluding 16 patients who underwent emergency portacaval shunting, the operative mortality was 7%. In 6 patients, the bleeding was controlled by endoscopic electrocoagulation. There were no complications. Emergency endoscopy should be done routinely as the primary diagnostic approach in the diagnosis of upper gastrointestinal bleeding.Keywords
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