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Clinical significance of erosive gastritis in patients with alcoholic liver disease and upper gastrointestinal hemorrhage.

机译:酒精性肝病合并上消化道出血的糜烂性胃炎的临床意义。

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摘要

Since, in many patients with alcoholic liver disease and upper gastrointestinal hemorrhage, varices and erosive gastritis frequently coexist, the purpose of this study was to assess the severity of hemorrhage, rebleeding and mortality rates when these lesions are present singly or concomitantly. In 104 patients not operated upon, 31 had both lesions present on endoscopic examination, and their clinical courses paralleled the severity of 29 patients who had bleeding varices as the sole finding. In 13 patients with alcoholic liver disease and upper gastrointestinal hemorrhage who were found to have erosive gastritis as the sole lesion, the clinical course was as benign as in 31 patients with ethanol-induced gastritis without liver disease, and their blood loss, rebleeding and mortality rates were significantly less than in patients with both varices and gastritis. It is concluded that the course and prognosis of upper gastrointestinal hemorrhage in patients with alcoholic liver disease and erosive gastritis is dependent upon the presence or absence of gastroesophageal varices.
机译:由于在许多酒精性肝病和上消化道出血的患者中,静脉曲张和糜烂性胃炎经常并存,因此本研究的目的是评估当这些病变单独或同时出现时的出血,再出血和死亡率的严重性。在没有进行手术的104例患者中,有31例在内窥镜检查中同时出现了两种病变,其临床过程与29例以静脉曲张破裂出血为唯一发现的患者的病情相似。在发现以糜烂性胃炎为唯一病变的13例酒精性肝病和上消化道出血患者中,临床病程与31例无肝病的乙醇诱发性胃炎患者一样,其病程,血液流失,再出血和死亡率率明显低于静脉曲张和胃炎患者。结论是酒精性肝病和糜烂性胃炎患者上消化道出血的过程和预后取决于胃食管静脉曲张的存在与否。

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