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이상운(Sang Yoon Lee),이한기(Han Ki Lee),김정호(Jeong Ho Kim),강명원(Myung Weon Kang),박순희(Sun Hi Park),여향순(Hyang Soon Yeo),정판기(Pan Ki Jeoung),박홍배(Hong Bae Park) 대한내과학회 1987 대한내과학회지 Vol.32 No.6
N/A Hemorrhage from esophageal varices is a difficult problem for which there is no completely solution, Sixty-three patients (eight-five cases) have been treated with endoscopic injection sclerotherapy (EIS). All patients had documented variceal hemorrhage and underwent EIS while bleeding or shortly thereafter. The observed results are summarized as follows: 1) The duration of EIS from onset of hematmesis and/or melena was within 72 hours mostly, and the frequency of EIS was one to six times. 2) There were no noticable changes in Hemoglobin, SGOT, Serum bilirubin and serum albumin before and after EIS. 3) The amounts of blood transfusion was decreased significantly after EIS. 4) There were mild complications after EIS, but were serious complication or death relate to EIS. 5) The mortality rate was 13% in follow up period. Based on these results, we concluded that EIS is recommanded for managing variceal hemorrhage with- out serious complication.
긴급 내시경으로 진단된 상부 위장관 출혈의 임상적 고찰
박홍배,여향순,하승희,한정열,정판기,양영철 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1
Department of Internal llafedicine, Kwarrqju CTtristian Hospltul Emergency endoscopy was performed in 315 patients for recent four years The aouree of upper GI bieeditag in these 315 cases were as follows: Esophageal varx(3), gastric ca(39), Mallory-we;3s syndromei(74), gastric ca(3),- Duodenal ulces(i)lrosive gastritis(14,1, Marginal ulcer(2), Goaabined case(24)k Unknown cases, Essential It was not performed in 4 died case because of poor general conditions. After check up H, Heart, P1use rate, that examination wad performed during drip infusion to he safety of ciralatary system. No compioatian were encountered. To confirm the source of bldeding 8t earlier stogie, was useful to decide which way, that is conservative of surgical therapy 'n which better far the Management. The results are as follows: f) The sex incidence of upper GI bleeding showed Male predominance c a ratio 4.6 : 1 and peak ale groups were 4th & 5th' decade. 2) Endoscbpic diagnosis of upper GI Bleeding in the studies case were in the ardeof Esophageal varix bleeding(29), Gastric ulcer(23.5), Mallory weiss eyndrome(12.), Duodenal uler(fi.'o) Erosive gastritis(j1.) We could not find the bleeding site in 3.216 of the studied case. 3) The cause of emergency endoscopy',are Melena(19), Hemateness(22.0) and combi ned(58. 4) 4) Among the 315 uses of upper GI bjleeding, 70.1 of the eases revealed moderate degree of bleeding. 5) Among the 315 cases of upper tr'*I 1',feeding, 28. 1' of the eases were confirmed of nducing factor. 6) Among the 3i5 cases of upper $I bileeding, 69io f the cases received an endascop.ic examinatcan within 72 hr after initial eaisode of bleedag. 7) The discovery rate of lesion was as follows. within 12 hrs, the discovery rate was 67같. From 12 hr, to 24 hr, the rate 48. From, 24 hr to 48 hr, the rate 3996. From 48 hr to 72 hr, the rate 2. 7. 8) The therapy of upper GI bleeding consists ef medical therapy(86,6), surgical therapy (14), the result of therapy shows 85 improvement.