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首页> 外文期刊>World Journal of Gastroenterology >Acute upper gastrointestinal bleeding in operated stomach: Outcome of 105 cases
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Acute upper gastrointestinal bleeding in operated stomach: Outcome of 105 cases

机译：手术胃急性上消化道出血：105例结果

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AIM: To compare the causes and clinical outcome of patients with acute upper gastrointestinal bleeding (AUGB) and a history of gastric surgery to those with AUGB but without a history of gastric surgery in the past. METHODS: The causes and clinical outcome were compared between 105 patients with AUGB and a history of gastric surgery, and 608 patients with AUGB but without a history of gastric surgery. RESULTS: Patients who underwent gastric surgery in the past were older (mean age: 68.1±11.7 years vs 62.8±17.8 years, P= 0.001), and the most common cause of bleeding was marginal ulcer in 63 patients (60%). No identifiable source of bleeding could be found in 22 patients (20.9%) compared to 42/608 (6.9%) in patients without a history of gastric surgery (P= 0.003). Endoscopic hemostasis was permanently successful in 26 out of 35 patients (74.3%) with peptic ulcers and active bleeding or non-bleeding visible vessel. Nine patients (8.6%) were operated due to continuing or recurrent bleeding, compared to 23/608 (3.8%) in the group of patients without gastric surgery in the past (P= 0.028). Especially in peptic ulcer bleeding patients, emergency surgery was more common in the group of patients with gastric surgery in the past [9/73 (12.3%) vs 19/360 (5.3%), P= 0.025]. Moreover surgically treated patients in the past required more blood transfusion (3.3±4.0 vs 1.5±1.7, P= 0.0001) and longer hospitalization time (8.6±4.0 vs 6.9±4.9 d, P = 0.001) than patients without a history of gastric surgery. Mortality was not different between the two groups [4/105 (3.8%) vs 19/608 (3.1%)]. CONCLUSION: Upper gastrointestinal bleeding seems to be more severe in surgically treated patients than in non-operated patients.
机译：目的：比较急性上消化道出血（AUGB）和有胃手术史的患者与过去无胃手术史的原因和临床结局。方法：比较105例有胃手术史的AUGB患者和608例无胃手术史的AUGB患者的病因和临床结局。结果：过去接受胃外科手术的患者年龄较大（平均年龄：68.1±11.7岁和62.8±17.8岁，P = 0.001），出血的最常见原因是63例患者的边缘性溃疡（60％）。没有胃手术史的患者中，没有发现出血的来源为22名患者（20.9％），而有42/608名患者（6.9％）没有出血（P = 0.003）。在35例消化性溃疡，活动性出血或可见血管无出血的患者中，有26例（74.3％）内镜止血术是永久成功的。 9例（8.6％）因持续或复发性出血而接受手术，而过去无胃外科手术的患者中23/608（3.8％）（P = 0.028）。尤其是在消化性溃疡出血患者中，过去接受胃外科手术的患者中急诊手术更为普遍[9/73（12.3％）vs 19/360（5.3％），P = 0.025]。此外，与没有胃手术史的患者相比，过去接受外科手术治疗的患者需要更多的输血（3.3±4.0 vs 1.5±1.7，P = 0.0001）和更长的住院时间（8.6±4.0 vs 6.9±4.9 d，P = 0.001）。 。两组的死亡率无差异[4/105（3.8％）vs 19/608（3.1％）]。结论：外科治疗患者的上消化道出血似乎比非手术患者更为严重。

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