当前位置： SCI文献检索 > GASTROINTESTINAL ENDOSCOPY期刊下所有文献 > Natural history of bleeding peptic ulcers with a tightly adherent blood clot: a prospective observation.

Natural history of bleeding peptic ulcers with a tightly adherent blood clot: a prospective observation.

Abstract：

BACKGROUND:The natural history of a bleeding peptic ulcer with a tightly adherent blood clot remains uncertain. Controversy exists concerning removal of such blood clots at the bleeding ulcer base. This article presents the natural history of a bleeding peptic ulcer with a tightly adherent clot and defines the characteristics of those requiring aggressive management. METHODS:Clinical parameters were analyzed to determine the independent predictors of rebleeding in these patients. One hundred one patients with bleeding peptic ulcers and tightly adherent blood clots were enrolled during a period of 12 months. RESULTS:Twenty-five patients (25%) rebled within 1 month. With a multivariate analysis, we found comorbid illness (odds ratio, 3.41), shock (odds ratio, 3.65), and initial hemoglobin at or below 10 gm/dL (odds ratio, 2.99) to be independent predictors of rebleeding. CONCLUSIONS:Most patients with a tightly adherent clot in an ulcer have an uneventful course. However, endoscopic therapy may prove to be beneficial in the subset of patients with independent predictors of rebleeding.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Lin HJ,Wang K,Perng CL,Lee FY,Lee CH,Lee SD

doi

10.1016/s0016-5107(96)70288-2

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

470-3

issue

5

eissn

0016-5107

issn

1097-6779

pii

S0016510796702882

journal_volume

43

pub_type

杂志文章

相关文献

GASTROINTESTINAL ENDOSCOPY文献大全
  • A prospective multicenter study using a new multiband mucosectomy device for endoscopic resection of early neoplasia in Barrett's esophagus.

    abstract：BACKGROUND AND AIMS:Early neoplasia in Barrett's esophagus (BE) can be effectively and safely removed by endoscopic resection (ER) using multiband mucosectomy (MBM). This study aimed to document performance of a novel MBM device designed for improved visualization, easier passage of accessories, and better suction powe...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.gie.2018.06.030

    authors： Pouw RE,Beyna T,Belghazi K,Koch AD,Schoon EJ,Haidry R,Weusten BL,Bisschops R,Shaheen NJ,Wallace MB,Marcon N,Heise-Ginsburg R,Gotink AW,Wang KK,Leggett CL,Ortiz-Fernández-Sordo J,Ragunath K,DiPietro M,Pech O,Neuhaus

    更新日期：2018-10-01 00:00:00

  • Does intrabiliary pressure predict basal sphincter of Oddi pressure? A study in patients with and without gallbladders.

    abstract：BACKGROUND:The endoscopic measurement of sphincter of Oddi pressure is a technically difficult procedure requiring significant expertise. Intrabiliary pressure is technically easy to measure. Furthermore, since it is believed that the pathogenesis of pain in patients with sphincter of Oddi dysfunction is attributable t...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(96)70054-8

    authors： Kalloo AN,Tietjen TG,Pasricha PJ

    更新日期：1996-12-01 00:00:00

  • Endoscopic ablation of Barrett's esophagus: a multicenter study with 2.5-year follow-up.

    abstract：BACKGROUND:For patients with Barrett's esophagus (BE), life-long surveillance endoscopy is recommended because of an elevated risk for developing dysplasia and esophageal adenocarcinoma. Various endoscopic therapies have been used to eradicate BE. Recently circumferential radiofrequency ablation has been used with enco...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.gie.2008.03.008

    authors： Fleischer DE,Overholt BF,Sharma VK,Reymunde A,Kimmey MB,Chuttani R,Chang KJ,Lightdale CJ,Santiago N,Pleskow DK,Dean PJ,Wang KK

    更新日期：2008-11-01 00:00:00

  • Correlation of endoanal sonography with cross-sectional anatomy of the anal sphincter.

    abstract：BACKGROUND:Anal endosonography has become an important imaging method in the diagnosis of anorectal disorders. However, little information exists as to whether anal endosonography reliably defines pelvic floor structures. The aim of this study was to correlate endoanal sonography with cross-sectional anatomy and histol...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(99)70162-8

    authors： Konerding MA,Dzemali O,Gaumann A,Malkusch W,Eckardt VF

    更新日期：1999-12-01 00:00:00

  • Extended endoscopic mucosal resection does not reduce recurrence compared with standard endoscopic mucosal resection of large laterally spreading colorectal lesions.

    abstract：BACKGROUND AND AIMS:Effective interventions to prevent residual and/or recurrent adenoma (RRA) after EMR of large sessile and laterally spreading colorectal lesions (LSL) are yet to be determined. RRA may occur due to inconspicuous adenoma at the EMR margin. We aimed to determine the efficacy and safety of extended EMR...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.gie.2016.05.015

    authors： Bahin FF,Pellise M,Williams SJ,Bourke MJ

    更新日期：2016-12-01 00:00:00

  • ERCP in the management of pancreatic diseases in children.

    abstract：BACKGROUND:ERCP experience in pancreatic disorders in children is limited. OBJECTIVE:This study evaluated the utility and efficacy of ERCP in children with pancreatic diseases at a tertiary care referral center. PATIENTS AND SETTINGS:Consecutive patients 18 years of age and younger who underwent ERCP for pancreatic d...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2013.07.060

    authors： Agarwal J,Nageshwar Reddy D,Talukdar R,Lakhtakia S,Ramchandani M,Tandan M,Gupta R,Pratap N,Rao GV

    更新日期：2014-02-01 00:00:00

  • Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps.

    abstract：BACKGROUND AND AIMS:Optical diagnosis allows for real-time endoscopic assessment of colorectal polyp histology and consists of the resect and discard and diagnose and leave paradigms. This survey assessed patient acceptance of optical diagnosis and their responses to a hypothetical doomsday scenario. METHODS:We conduc...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2016.11.031

    authors： Sakata S,Lee AHS,Kheir AO,Tutticci NJ,Naidu S,Stevenson ARL,Hewett DG

    更新日期：2017-08-01 00:00:00

  • Early colonoscopy for acute lower GI bleeding predicts shorter hospital stay: a retrospective study of experience in a single center.

    abstract：BACKGROUND:Appropriate management of lower-GI hemorrhage remains controversial largely because outcomes data are lacking. It is our hypothesis that clinical factors, such as comorbidity, hemodynamic instability, and timing of colonoscopy, are associated with hospital lengths of stay. METHODS:Medical records of patient...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(03)02304-6

    authors： Schmulewitz N,Fisher DA,Rockey DC

    更新日期：2003-12-01 00:00:00

  • Optimizing histopathologic evaluation of EMR specimens of Barrett's esophagus-related neoplasia: a randomized study of 3 specimen handling methods.

    abstract：BACKGROUND AND AIMS:Endoscopic resection is the cornerstone of treatment of Barrett's esophagus (BE)-related neoplasia. However, accurate histopathologic evaluation of endoscopic resection specimens can be challenging, and the preferred specimen handling method remains unknown. Therefore, the aim of our study was to co...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2019.03.014

    authors： Overwater A,van der Meulen KE,Künzli HT,Schoon EJ,Bergman JJGHM,Mihaela Raicu G,Seldenrijk KCA,Weusten BLAM

    更新日期：2019-09-01 00:00:00

  • Optimization of light dosimetry for photodynamic therapy of Barrett's esophagus: efficacy vs. incidence of stricture after treatment.

    abstract：BACKGROUND:Photodynamic therapy (PDT) may be used to ablate high-grade dysplasia/early stage cancer (HGD/T1) in patients with Barrett's esophagus. PDT may result in esophageal stricture. This nonrandomized, unblinded, dose de-escalation study in consecutive patients was designed to determine the lowest light dose effec...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(04)02394-6

    authors： Panjehpour M,Overholt BF,Phan MN,Haydek JM

    更新日期：2005-01-01 00:00:00

  • Effects of meperidine on the pancreatic and biliary sphincter.

    abstract：BACKGROUND:Opioids are traditionally avoided during sphincter of Oddi manometry because of indirect evidence suggesting that these agents cause sphincter of Oddi spasm. This study was undertaken to determine the direct effects of meperidine on the biliary and pancreatic sphincter. METHODS:Forty-seven patients were pro...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(96)70158-x

    authors： Sherman S,Gottlieb K,Uzer MF,Smith MT,Khusro QE,Earle DT,Brunelle RL,Hawes RH,Lehman GA

    更新日期：1996-09-01 00:00:00

  • Width and depth of resection for small colorectal polyps: hot versus cold snare polypectomy.

    abstract：BACKGROUND AND AIMS:Curability is associated with resection width and depth in polypectomy. We evaluated the resection width and depth achieved with hot snare polypectomy (HSP) and cold snare polypectomy (CSP) for small colorectal polyps. METHODS:In this single-center, prospective, randomized controlled study, patient...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2017.10.041

    authors： Suzuki S,Gotoda T,Kusano C,Ikehara H,Sugita A,Yamauchi M,Moriyama M

    更新日期：2018-04-01 00:00:00

  • Outcomes of endoscopic resection for superficial duodenal epithelial neoplasia.

    abstract：BACKGROUND AND AIMS:Pancreaticoduodenectomy is an invasive procedure, and endoscopic resection (ER) is an alternative therapy. However, details regarding the outcomes of ER are unknown, especially for superficial duodenal epithelial neoplasia (SDET). The aim of this study was to elucidate the outcomes of ER for SDET an...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2018.05.002

    authors： Yahagi N,Kato M,Ochiai Y,Maehata T,Sasaki M,Kiguchi Y,Akimoto T,Nakayama A,Fujimoto A,Goto O,Uraoka T

    更新日期：2018-10-01 00:00:00

  • ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy.

    abstract：:Chronic radiation proctopathy is a common sequela of radiation therapy for malignancies in the pelvic region. A variety of medical and endoscopic therapies have been used for the management of bleeding from chronic radiation proctopathy. In this guideline, we reviewed the results of a systematic search of the literatu...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,实务指引

    doi：10.1016/j.gie.2019.04.234

    authors： Lee JK,Agrawal D,Thosani N,Al-Haddad M,Buxbaum JL,Calderwood AH,Fishman DS,Fujii-Lau LL,Jamil LH,Jue TL,Khashab MA,Law JK,Naveed M,Qumseya BJ,Sawhney MS,Storm AC,Yang J,Wani SB

    更新日期：2019-08-01 00:00:00

  • Endoscopic submucosal dissection by using a grasping-type scissors forceps: a preliminary clinical study (with video).

    abstract：BACKGROUND:Endoscopic submucosal dissection (ESD) with a knife is a technically demanding procedure associated with a high complication rate. The shortcoming of this method is the difficulty of fixing the knife to the target lesion. It can lead to an unexpected incision and result in major complications, such as perfor...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.gie.2007.12.007

    authors： Akahoshi K,Honda K,Akahane H,Akiba H,Matsui N,Motomura Y,Kubokawa M,Endo S,Higuchi N,Oya M

    更新日期：2008-06-01 00:00:00

  • Prospective, randomized, back-to-back trial evaluating the usefulness of i-SCAN in screening colonoscopy.

    abstract：BACKGROUND:The newly developed i-SCAN application can theoretically maximize the effectiveness of colonoscopy. However, the practical usefulness of the i-SCAN application during screening colonoscopy has not been assessed. OBJECTIVE:To assess the efficacy of the i-SCAN application during screening colonoscopy. DESIGN...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2011.11.040

    authors： Hong SN,Choe WH,Lee JH,Kim SI,Kim JH,Lee TY,Kim JH,Lee SY,Cheon YK,Sung IK,Park HS,Shim CS

    更新日期：2012-05-01 00:00:00

  • EUS characteristics of celiac ganglia with cytologic and histologic confirmation.

    abstract：BACKGROUND:Celiac ganglia have not been previously identified by EUS. OBJECTIVE:To assess whether celiac ganglia can be detected by EUS and to define their characteristics. DESIGN:Retrospective review followed by prospective study. METHODS:Retrospective characterization was performed of all celiac ganglia that were ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.01.071

    authors： Gerke H,Silva RG Jr,Shamoun D,Johnson CJ,Jensen CS

    更新日期：2006-07-01 00:00:00

  • Endoscopic ligation of esophageal varices compared with injection sclerotherapy: a prospective randomized trial.

    abstract：:Fifty cirrhotic patients with esophageal varices underwent endoscopic treatment in a prospective randomized trial carried out to compare variceal ligation with injection sclerotherapy, with respect to safety, efficacy, and complications in the initial session. Twenty-five patients each were treated using endoscopic va...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0016-5107(93)70050-4

    authors： Hashizume M,Ohta M,Ueno K,Tanoue K,Kitano S,Sugimachi K

    更新日期：1993-03-01 00:00:00

  • Natural history of colonic polyposis in young patients with familial adenomatous polyposis.

    abstract：BACKGROUND AND AIMS:Proctocolectomy prevents colorectal cancer in familial adenomatous polyposis (FAP). Colorectal polyp progression is one of the indications for surgery. No data exist regarding the natural history of colorectal polyposis in young patients with FAP. This study examined the rate of polyposis progressio...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2018.05.021

    authors： Sarvepalli S,Burke CA,Monachese M,Leach BH,Laguardia L,O'Malley M,Kalady MF,Church JM

    更新日期：2018-10-01 00:00:00

  • EUS-guided photodynamic therapy of the pancreas: a pilot study.

    abstract：BACKGROUND:Photodynamic therapy of pancreatic cancer by using percutaneously placed light catheters has been reported. The feasibility and safety of EUS-guided photodynamic therapy of the pancreas was studied in a porcine model. METHODS:After injection of porfimer sodium, a 19-gauge needle was inserted into the pancre...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(03)02361-7

    authors： Chan HH,Nishioka NS,Mino M,Lauwers GY,Puricelli WP,Collier KN,Brugge WR

    更新日期：2004-01-01 00:00:00

  • The role of polymeric surface smoothness of biliary stents in bacterial adherence, biofilm deposition, and stent occlusion.

    abstract：:Bacterial adherence and biofilm deposition onto the surface of polymers used for biliary stents are the initial events that ultimately lead to stent occlusion. Vivathane is a new polymer with an ultrasmooth surface. In this study, stents made from Vivathane were compared to standard plastic stents in an in vitro model...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(93)70120-0

    authors： McAllister EW,Carey LC,Brady PG,Heller R,Kovacs SG

    更新日期：1993-05-01 00:00:00

  • The role of parallel stent insertion in patients with esophagorespiratory fistulas.

    abstract：BACKGROUND:Patients with malignant esophagorespiratory fistulas have a poor prognosis. Treatment is palliative and involves restoration of the ability to ingest food and prevention of aspiration by insertion of esophageal or tracheobronchial stents. Because insertion of a single stent may be insufficient for palliation...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.119731

    authors： van den Bongard HJ,Boot H,Baas P,Taal BG

    更新日期：2002-01-01 00:00:00

  • Negative capsule endoscopy in patients with obscure GI bleeding predicts low rebleeding rates.

    abstract：BACKGROUND:Wireless capsule endoscopy (CE) is the investigation of choice in obscure GI bleeding (OGIB), with a high diagnostic yield when compared with other modalities. It enables specific treatment to be instigated in a significant proportion of cases, with the aim of reducing rebleeding rates. Little evidence is cu...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2008.06.054

    authors： Macdonald J,Porter V,McNamara D

    更新日期：2008-12-01 00:00:00

  • Endoscopic sclerotherapy for portal hypertension due to extrahepatic obstruction: long-term follow-up.

    abstract：:Between 1982 and 1987, 43 patients with variceal bleeding due to extrahepatic portal obstruction were treated by repeated endoscopic injection sclerotherapy using 1% polidocanol intravariceally. This decreased rebleeding, as evidenced by a decrease in bleeding risk factor (BRF), mean transfusion requirement, and mean ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(89)72798-x

    authors： Bhargava DK,Dwivedi M,Dasarathy S,Arora A

    更新日期：1989-07-01 00:00:00

  • A guiding catheter to facilitate accurate stent length determination.

    abstract：BACKGROUND:Endoscopic stenting is widely used for drainage in benign and malignant strictures of the bile and pancreatic ducts. Accurate fitting of the stent to the anatomic ductal features is essential, although this is often done by visual assessment alone. METHODS:A new guiding catheter, the measuring-mounting cath...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0016-5107(98)70166-x

    authors： Dumonceau JM,Devière J,Delhaye M,Baize M,Minet M,Cremer M

    更新日期：1998-08-01 00:00:00

  • Accuracy of contrast-enhanced harmonic EUS with a second-generation perflutren lipid microsphere contrast agent (with video).

    abstract：BACKGROUND:EUS-FNA has limitations in cancer diagnosis/staging. New contrast agents, transducers, and processors have improved the potential of contrast-enhanced harmonic (CEH)-EUS. OBJECTIVE:To determine optimal settings and preliminary accuracy of CEH-EUS by using a second-generation perflutren lipid microsphere con...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2010.09.014

    authors： Romagnuolo J,Hoffman B,Vela S,Hawes R,Vignesh S

    更新日期：2011-01-01 00:00:00

  • Outcomes of symptom screening and universal COVID-19 reverse transcriptase polymerase chain reaction testing before endoscopy in a community-based ambulatory surgery center.

    abstract：BACKGROUND AND AIMS:Elective endoscopy resumed in our outpatient ambulatory center after instituting the preprocedure policy of a confirmed negative coronavirus disease 2019 (COVID-19) reverse transcriptase polymerase chain reaction (RT-PCR) status performed 72 hours before a scheduled procedure as mandated by the stat...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2020.10.001

    authors： Bowyer B,Thukral C,Patel S,Dovalovsky K,Bowyer SG,Ford J,Fox T,Ringler E

    更新日期：2020-10-08 00:00:00

  • Yield of EUS-guided FNA on the diagnosis of pancreatic/peripancreatic tuberculosis.

    abstract：BACKGROUND:Pancreatic/peripancreatic tuberculosis (TB) is a very rare clinical entity, even in countries with high incidences of TB. The diagnosis of pancreatic/peripancreatic TB with EUS-guided FNA (EUS-FNA) remains a diagnostic challenge because of limitations of the endoscopists' expertise on this condition. OBJECT...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2008.10.007

    authors： Song TJ,Lee SS,Park DH,Lee TY,Lee SO,Seo DW,Lee SK,Kim MH

    更新日期：2009-03-01 00:00:00

  • Does methylene blue detect intestinal metaplasia in Barrett's esophagus?

    abstract：BACKGROUND:Methylene blue has been used to selectively stain areas of specialized intestinal metaplasia in Barrett's esophagus. The sensitivity, specificity, and negative and positive predictive values for the detection of specialized intestinal metaplasia by methylene blue chromoendoscopy were determined in patients w...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2003.137

    authors： Breyer HP,Silva De Barros SG,Maguilnik I,Edelweiss MI

    更新日期：2003-04-01 00:00:00

  • Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis.

    abstract：BACKGROUND:The aim of the present study was to evaluate the diagnostic and therapeutic usefulness of percutaneous transhepatic cholecystoscopy in high-risk surgical patients with acute cholecystitis. METHODS:Between January 1992 and June 1998, there were 33 consecutive patients who underwent percutaneous transhepatic ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1067/mge.2000.107286

    authors： Kim HJ,Lee SK,Kim MH,Yoo KS,Lim BC,Seo DW,Min YI

    更新日期：2000-11-01 00:00:00