Abstract:
:One hundred and forty two patients with bleeding peptic ulcers underwent emergency endoscopy. Seventy six had endoscopic stigmata of haemorrhage and nine subsequently died. There were no deaths amongst sixty six patients without stigmata (p less than 0.02). Patients with stigmata were also significantly more likely to experience further bleeding (p less than 0.001) and to require emergency operations (p less than 0.01). Excess risk attached to those with bleeding at the time of endoscopy and those with visible vessels or clot adherent to the ulcer but not to patients with staining of the ulcer base. Patients without stigmata or with staining alone should be managed conservatively. Clinical trials in bleeding peptic ulcer disease should only include patients in the high risk group.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Brearley S,Morris DL,Hawker PC,Dykes PW,Keighley MRdoi
10.1055/s-2007-1018493subject
Has Abstractpub_date
1985-09-01 00:00:00pages
173-4issue
5eissn
0013-726Xissn
1438-8812journal_volume
17pub_type
临床试验,杂志文章相关文献
ENDOSCOPY文献大全abstract::Biliary endoprostheses are increasingly used in the treatment of both benign and malignant pancreaticobiliary disorders. Common bile duct stones are a common clinical problem for which there now exist a range of treatment modalities. Official guidelines in the UK advocate the use of plastic biliary endoprostheses in t...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1244203
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of mediastinal lymph nodes is increasingly used to detect noncaseating granulomas in patients with suspected sarcoidosis. The optimal needle size and tissue processing method for detecting noncaseating granulomas are...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1243890
更新日期:2010-03-01 00:00:00
abstract::BACKGROUND : Use of a side-viewing endoscope is currently mandatory to examine the major duodenal papilla; however, previous studies have used cap-assisted endoscopy for complete examination of the papilla. The aim of this study was to compare cap-assisted endoscopy with side-viewing endoscopy for examination of the m...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/a-0662-5445
更新日期:2019-05-01 00:00:00
abstract::An elderly patient with a postoperative biliocutaneous fistula, the persistence of which was due to an unrecognized fibro-malignant stricture of the distal common bile duct, was treated by the insertion of an endoscopic biliary endoprosthesis. Immediately after the procedure, bile discharge through the fistula ceased ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018224
更新日期:1987-01-01 00:00:00
abstract::In recent years, primary gastrointestinal follicular lymphoma has been increasingly detected in the duodenum on esophagogastroduodenoscopy (EGD). Primary gastrointestinal follicular lymphomas are frequently distributed to multiple sites in the gastrointestinal tract. Therefore, investigation into the spread of follicu...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1119467
更新日期:2009-02-01 00:00:00
abstract::A 71-year-old female with symptomatic colonic lipoma is described. An uneventful colonoscopic removal of the lipoma was performed. Colonoscopic removal of symptomatic pedunculated submucosal colonic lipoma may be recommended. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021668
更新日期:1981-05-01 00:00:00
abstract::The introduction of videoendoscopy has had a revolutionary impact on endoscopy teaching on a small scale within the Endoscopy unit itself and on a larger scale in the Conference Room which may be local or distant. The teaching of anatomy, pathology and endoscopic techniques have all been significantly affected and fur...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1012882
更新日期:1990-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The present study aimed to investigate the level of knowledge concerning colorectal carcinoma and its screening and treatment in a group of patients with long-standing and extensive ulcerative colitis. PATIENTS AND METHODS:A postal questionnaire was sent to 61 patients with long-standing and ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005601
更新日期:1996-11-01 00:00:00
abstract::This is a comparative study of two types of choledochoscopes: The Wolf rigid scope and the flexible CHF B3 Olympus scope. These were used for the exploration of 120 consecutive cases of common bile duct disease covering a 4-year period. The rigid and the flexible choledochoscopes were used in 30 and 88 cases, respecti...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018505
更新日期:1985-11-01 00:00:00
abstract:: ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-0820-1294
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:This study was designed to assess the usefulness of variable-stiffness video colonoscopes, compared with conventional videoscopes. PATIENTS AND METHODS:The first prototype XCF-QAY1 and the latter prototype XCF-Q240A1 used in this study can be varied to 4 levels of stiffness of tube insertion ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2001-11174
更新日期:2001-01-01 00:00:00
abstract::Vascular malformations of the GI tract can be treated by thermal methods, including the YAG laser. The diagnosis of these lesions is not always easy, and it is difficult to evaluate the completeness of therapy of these lesions. We investigated the value of Doppler ultrasound in this respect. The TVD-1 (Key Med) transe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018146
更新日期:1988-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Capsule endoscopy (CE) has been shown to be accurate in the evaluation of small-bowel bleeding and possibly also other small-bowel disorders. It is commonly believed that other organs are not suitable for CE. We report here on our experience in studying the distal esophagus using CE under vari...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2003-43488
更新日期:2003-11-01 00:00:00
abstract::A procedure for percutaneous endoscopic gastrostomy is described. Under direct endoscopic control, the surgeon introduces, percutaneously, into the inflated stomach a 9 French Foley catheter through a special needle, which may then be opened for removal. After positioning, the terminal balloon of the Foley is inflated...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018585
更新日期:1984-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:We investigated whether intraductal ultrasonography (IDUS) could distinguish between stage T1 and T2 bile duct cancer. MATERIALS AND METHODS:In-vitro study. Resected bile duct specimens (n = 8) were immersed in a water tank and were pierced with straight pins to clarify the normal layer struc...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1004296
更新日期:1997-10-01 00:00:00
abstract::Screening for colorectal cancer and its precursors was performed from '68 to '78 within the framework of a multiphasic cancer detection program on 35,700 "healthy" individuals of both sexes in the "high-risk" age groups. Fecal occult blood as determined by the benzidine test after diet was positive in 3,676 individual...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021684
更新日期:1981-09-01 00:00:00
abstract::This report describes 2 cases of calcified cavernous transformation of portal vein of unknown etiology. In both cases the revealing symptom was jaundice due to extrinsic compression of the common bile duct by the cavernoma. Only 4 other cases have been previously described in the literature. The cause of the jaundice ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1009120
更新日期:1993-08-01 00:00:00
abstract::Malignant melanoma is a neoplasm which originates from melanocytes. Surgical exploration for abdominal metastases of cutaneous melanoma reveals pancreatic metastases in 16 % of patients which is usually accompanied by other intra-abdominal spread. Endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration (EUS-...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2003-37258
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic therapy of upper gastrointestinal bleeding remains challenging with conventional endoscopic devices. Use of Hemospray, where a nanopowder with clotting abilities is sprayed onto the bleeding site, had been highly effective for management of arterial bleeding in a heparizined animal ...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0030-1256311
更新日期:2011-04-01 00:00:00
abstract::Background and study aims: Gastric reflux into the remnant esophagus after subtotal or partial esophagectomy is associated with impairment in patient quality of life. We evaluated the feasibility, safety, and potential effectiveness of a novel procedure using a new endoscopic suturing device to create an anti-reflux v...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-112572
更新日期:2016-12-01 00:00:00
abstract::In an earlier publication, the intestinal placement of Miller-Abbott-tubes using routine gastroscopic equipment was proposed for the conservative treatment of intestinal obstruction. In addition to the technical advices presented at this early stage of personal experience, we now recommend to 1. insert the tube primar...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098253
更新日期:1978-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic submucosal dissection (ESD) provides a high en bloc resection rate for superficial colorectal tumors. The aims of this study were to assess the feasibility of ESD in France and to evaluate the complete resection rate at 1 year. PATIENTS AND METHODS:Patients with superficial rectal ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1365810
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The value of methylene blue-directed biopsies (MBDB) in detecting specialized intestinal metaplasia and dysplasia in Barrett's esophagus remains unclear. The aim of this study was to compare the accuracy of MBDB with random biopsy in detecting intestinal metaplasia and dysplasia in patients wi...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2003-44599
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:It is difficult to measure the prevalence of hereditary non-polyposis colorectal cancer (HNPCC) in geographical areas that do not have tumor registers, as is the case in the present study, and it was therefore decided to assess the prevalence in Italy using different methods. PATIENTS AND MET...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1055/s-1999-30
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internati...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究
doi:10.1055/s-2006-925368
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Guidelines for antibiotic prophylaxis of infective endocarditis associated with gastrointestinal endoscopy are not uniform. Though based on weak scientific evidence, they do represent an attempt to unify the management of antibiotic prophylaxis. We investigated whether physicians who profess t...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2002-23634
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Preoperative transrectal ultrasound (TRUS) can establish the depth of penetration of a tumor, and thus provide important information for decisions about further management. In the literature, this method is reported to have a high level of sensitivity and specificity. Our investigation aimed a...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究
doi:10.1055/s-2002-25292
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Severe bleeding is a potentially lethal complication after endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilation (EPBD) for choledocholithiasis. This study aimed to evaluate the impact of antiplatelet agents and anticoagulants on this complication. PATIENTS AND METHODS:Pat...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1392408
更新日期:2015-11-01 00:00:00
abstract::One hundred and forty-five patients with nonvariceal upper GI hemorrhage, active or with stigmata (Forrest I and II) were divided into two groups according to the day of the week on which emergency endoscopy was performed: group A (78 patients) in which conventional treatment was applied (blood transfusions, antacids,...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-1012899
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Discomfort during colonoscopy may affect acceptability of the procedure. The study aim was to determine factors, including prior hysterectomy and gender, associated with higher levels of patient discomfort during colonoscopy to help with procedural planning such as choice of instrument and sed...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1365462
更新日期:2014-06-01 00:00:00