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[Upper digestive hemorrhage (observations on 201 cases)].

G Turra1, A Fantini, E Botta

  • 1Unità Socio Sanitaria Locale N. 65, Presidio Ospedaliero, Città di Sesto San Giovanni, I Divisione Chirurgica, Zinelli.

Chirurgia Italiana
|June 1, 1987
PubMed
Summary

Early endoscopy and careful patient selection improve outcomes for upper digestive tract bleeding. Surgical resection is valuable for severe bleeding from chronic peptic ulcers.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Internal Medicine

Context:

  • Focuses on the management of upper gastrointestinal bleeding (UGIB).
  • Analyzes 201 cases to evaluate treatment strategies.
  • Highlights the critical timing of endoscopic interventions.

Purpose:

  • To assess the efficacy of early endoscopy in UGIB management.
  • To evaluate the impact of rigorous patient selection for surgical intervention.
  • To confirm the value of surgical resection for severe chronic peptic ulcer hemorrhage.

Summary:

  • Reports on 201 cases of upper digestive tract hemorrhage.
  • Emphasizes the importance of early endoscopy (within 24 hours) and strict patient selection for surgery.
  • Confirms the effectiveness of surgical resection in managing severe hemorrhage from chronic peptic ulcers.

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Impact:

  • Provides evidence supporting timely endoscopic intervention for UGIB.
  • Reinforces the role of selective surgery in improving patient outcomes.
  • Contributes to optimized clinical guidelines for managing upper gastrointestinal bleeding.