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Emergency diagnosis of upper gastrointestinal bleeding by fiberoptic endoscopy



Emergency diagnosis of upper gastrointestinal bleeding by fiberoptic endoscopy



Annals of Surgery 185(3): 367-374



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.

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Accession: 040008578

Download citation: RISBibTeXText

PMID: 300236

DOI: 10.1097/00000658-197703000-00019


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