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Article: Bleeding duodenal ulcer. A prospective evaluation of risk factors for rebleeding and death
Title | Bleeding duodenal ulcer. A prospective evaluation of risk factors for rebleeding and death |
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Authors | |
Issue Date | 1990 |
Publisher | Lippincott 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? |
Abstract | There 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 Identifier | http://hdl.handle.net/10722/172627 |
ISSN | 2023 Impact Factor: 7.5 2023 SCImago Journal Rankings: 2.729 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Branicki, FJ | en_HK |
dc.contributor.author | Boey, J | en_HK |
dc.contributor.author | Fok, PJ | en_HK |
dc.contributor.author | Pritchett, CJ | en_HK |
dc.contributor.author | Fan, ST | en_HK |
dc.contributor.author | Sai, ECS | en_HK |
dc.contributor.author | Mok, FPT | en_HK |
dc.contributor.author | Wong, WS | en_HK |
dc.contributor.author | Lam, SK | en_HK |
dc.contributor.author | Hui, WM | en_HK |
dc.contributor.author | Ng, MMT | en_HK |
dc.contributor.author | Lok, ASF | en_HK |
dc.contributor.author | Lam, DKH | en_HK |
dc.contributor.author | Tse, MCK | en_HK |
dc.contributor.author | Tang, APK | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2012-10-30T06:23:52Z | - |
dc.date.available | 2012-10-30T06:23:52Z | - |
dc.date.issued | 1990 | en_HK |
dc.identifier.citation | Annals Of Surgery, 1990, v. 211 n. 4, p. 411-418 | en_HK |
dc.identifier.issn | 0003-4932 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/172627 | - |
dc.description.abstract | There 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 | en_HK |
dc.language | eng | en_US |
dc.publisher | Lippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com | en_HK |
dc.relation.ispartof | Annals of Surgery | en_HK |
dc.subject.mesh | Age Factors | en_US |
dc.subject.mesh | Duodenal Ulcer - Complications | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Hong Kong - Epidemiology | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Peptic Ulcer Hemorrhage - Epidemiology - Mortality - Therapy | en_US |
dc.subject.mesh | Prospective Studies | en_US |
dc.subject.mesh | Recurrence | en_US |
dc.subject.mesh | Risk Factors | en_US |
dc.title | Bleeding duodenal ulcer. A prospective evaluation of risk factors for rebleeding and death | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Fan, ST: stfan@hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Fan, ST=rp00355 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_OA_fulltext | en_US |
dc.identifier.doi | 10.1097/00000658-199004000-00006 | - |
dc.identifier.pmid | 2322036 | - |
dc.identifier.pmcid | PMC1358026 | - |
dc.identifier.scopus | eid_2-s2.0-0025213555 | en_HK |
dc.identifier.volume | 211 | en_HK |
dc.identifier.issue | 4 | en_HK |
dc.identifier.spage | 411 | en_HK |
dc.identifier.epage | 418 | en_HK |
dc.identifier.isi | WOS:A1990CX54400006 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Branicki, FJ=7003617514 | en_HK |
dc.identifier.scopusauthorid | Boey, J=7003838670 | en_HK |
dc.identifier.scopusauthorid | Fok, PJ=6601913500 | en_HK |
dc.identifier.scopusauthorid | Pritchett, CJ=6603960556 | en_HK |
dc.identifier.scopusauthorid | Fan, ST=7402678224 | en_HK |
dc.identifier.scopusauthorid | Sai, ECS=6506297729 | en_HK |
dc.identifier.scopusauthorid | Mok, FPT=6603786245 | en_HK |
dc.identifier.scopusauthorid | Wong, WS=55239262100 | en_HK |
dc.identifier.scopusauthorid | Lam, SK=7402279473 | en_HK |
dc.identifier.scopusauthorid | Hui, WM=7103196477 | en_HK |
dc.identifier.scopusauthorid | Ng, MMT=7202076310 | en_HK |
dc.identifier.scopusauthorid | Lok, ASF=35379868500 | en_HK |
dc.identifier.scopusauthorid | Lam, DKH=7201749373 | en_HK |
dc.identifier.scopusauthorid | Tse, MCK=36730595900 | en_HK |
dc.identifier.scopusauthorid | Tang, APK=7201845800 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0003-4932 | - |