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Article: Bleeding duodenal ulcer. A prospective evaluation of risk factors for rebleeding and death

TitleBleeding duodenal ulcer. A prospective evaluation of risk factors for rebleeding and death
Authors
Issue Date1990
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com
Citation
Annals Of Surgery, 1990, v. 211 n. 4, p. 411-418 How to Cite?
AbstractThere were 12 hospital deaths in 433 patients (2.8%, 1.6% at 30 days) presenting with bleeding duodenal ulcer. Excluding patients who underwent immediate operation or early elective surgery, where ulcer size was measured at initial endoscopy rebleeding was evident in 40/228 patients (13.9%) and was associated with an increased mortality (0.4% v 12.5%) (p<0.0001). Rebleeding rates for ulcers ≤ 1 cm were respectively 28/239 (11.7%) and 12/49 (24.5%) (p<0.02). Rebleeding occurred in 13/186 patients (7.0%) in whom endoscopic stigmata of recent haemorrhage were absent and in 27/102 (26.5%) with such stigmata was 3/186 patients (7.0%) in whom indoscopic stigmata of recent haemorrhage were absent and in 27/102 (26.5%) with stigmata (p<0.0001). The mortality rate for patients without stigmata was 3/186 (1.6%) whilst mortality figures for patients with ulcers ≤ 1 cm and > 1 cm in size were respectively 0/77 and 3/25 (12.0%) when stigmata were identified. Ulcers > 1 cm were more frequent in the > 60 year age group, more likely to have stigmata and carried an increased risk of rebleeding and mortality
Persistent Identifierhttp://hdl.handle.net/10722/172627
ISSN
2015 Impact Factor: 8.569
2015 SCImago Journal Rankings: 4.503
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorBranicki, FJen_HK
dc.contributor.authorBoey, Jen_HK
dc.contributor.authorFok, PJen_HK
dc.contributor.authorPritchett, CJen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorSai, ECSen_HK
dc.contributor.authorMok, FPTen_HK
dc.contributor.authorWong, WSen_HK
dc.contributor.authorLam, SKen_HK
dc.contributor.authorHui, WMen_HK
dc.contributor.authorNg, MMTen_HK
dc.contributor.authorLok, ASFen_HK
dc.contributor.authorLam, DKHen_HK
dc.contributor.authorTse, MCKen_HK
dc.contributor.authorTang, APKen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:23:52Z-
dc.date.available2012-10-30T06:23:52Z-
dc.date.issued1990en_HK
dc.identifier.citationAnnals Of Surgery, 1990, v. 211 n. 4, p. 411-418en_HK
dc.identifier.issn0003-4932en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172627-
dc.description.abstractThere were 12 hospital deaths in 433 patients (2.8%, 1.6% at 30 days) presenting with bleeding duodenal ulcer. Excluding patients who underwent immediate operation or early elective surgery, where ulcer size was measured at initial endoscopy rebleeding was evident in 40/228 patients (13.9%) and was associated with an increased mortality (0.4% v 12.5%) (p<0.0001). Rebleeding rates for ulcers ≤ 1 cm were respectively 28/239 (11.7%) and 12/49 (24.5%) (p<0.02). Rebleeding occurred in 13/186 patients (7.0%) in whom endoscopic stigmata of recent haemorrhage were absent and in 27/102 (26.5%) with such stigmata was 3/186 patients (7.0%) in whom indoscopic stigmata of recent haemorrhage were absent and in 27/102 (26.5%) with stigmata (p<0.0001). The mortality rate for patients without stigmata was 3/186 (1.6%) whilst mortality figures for patients with ulcers ≤ 1 cm and > 1 cm in size were respectively 0/77 and 3/25 (12.0%) when stigmata were identified. Ulcers > 1 cm were more frequent in the > 60 year age group, more likely to have stigmata and carried an increased risk of rebleeding and mortalityen_HK
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.comen_HK
dc.relation.ispartofAnnals of Surgeryen_HK
dc.subject.meshAge Factorsen_US
dc.subject.meshDuodenal Ulcer - Complicationsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeptic Ulcer Hemorrhage - Epidemiology - Mortality - Therapyen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshRisk Factorsen_US
dc.titleBleeding duodenal ulcer. A prospective evaluation of risk factors for rebleeding and deathen_HK
dc.typeArticleen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.doi10.1097/00000658-199004000-00006-
dc.identifier.pmid2322036-
dc.identifier.pmcidPMC1358026-
dc.identifier.scopuseid_2-s2.0-0025213555en_HK
dc.identifier.volume211en_HK
dc.identifier.issue4en_HK
dc.identifier.spage411en_HK
dc.identifier.epage418en_HK
dc.identifier.isiWOS:A1990CX54400006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridBranicki, FJ=7003617514en_HK
dc.identifier.scopusauthoridBoey, J=7003838670en_HK
dc.identifier.scopusauthoridFok, PJ=6601913500en_HK
dc.identifier.scopusauthoridPritchett, CJ=6603960556en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridSai, ECS=6506297729en_HK
dc.identifier.scopusauthoridMok, FPT=6603786245en_HK
dc.identifier.scopusauthoridWong, WS=55239262100en_HK
dc.identifier.scopusauthoridLam, SK=7402279473en_HK
dc.identifier.scopusauthoridHui, WM=7103196477en_HK
dc.identifier.scopusauthoridNg, MMT=7202076310en_HK
dc.identifier.scopusauthoridLok, ASF=35379868500en_HK
dc.identifier.scopusauthoridLam, DKH=7201749373en_HK
dc.identifier.scopusauthoridTse, MCK=36730595900en_HK
dc.identifier.scopusauthoridTang, APK=7201845800en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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