소화성 궤양 출혈의 임상 성적
Clinical Outcomes of Peptic Ulcer Bleeding
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Despite advancements in endoscopic technology and drug therapy, the high mortality and rebleeding rates associated with hemorrhagic peptic ulcers remain a concern. Although further research is needed to validate contributing factors, I recommend use of the Rockall score to predict the rebleeding risk in patients with peptic ulcers. Greater caution should be exercised, particularly in hospitalized patients, those who have undergone pancreatic surgery, and those with bleeding due to Dieulafoy’s lesions. Delaying resumption of an oral diet for at least 24 hours after endoscopic bleeding control is also advisable.
Abstract
Despite advancements in endoscopic technology and drug therapy, the high mortality and rebleeding rates associated with hemorrhagic peptic ulcers remain a concern. Although further research is needed to validate contributing factors, I recommend use of the Rockall score to predict the rebleeding risk in patients with peptic ulcers. Greater caution should be exercised, particularly in hospitalized patients, those who have undergone pancreatic surgery, and those with bleeding due to Dieulafoy’s lesions. Delaying resumption of an oral diet for at least 24 hours after endoscopic bleeding control is also advisable.
참고문헌 (7)
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- Yang EH, "Peptic ulcer bleeding patients with Rockall scores ≥6 are at risk of long-term ulcer rebleeding : a 3. 5-year prospective longitudinal study", J Gastroenterol Hepatol, 33, pp.156~163 (2018)
- Cha B, "Clinical outcomes of patients with benign peptic ulcer bleeding after an emergency endoscopy based on patient location", Dig Dis Sci, 68, pp.1539~1550 (2023)
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- Jo SY, "Clinical outcomes of Dieulafoy's lesion compared with peptic ulcer in upper gastrointestinal bleeding", J Gastroenterol Hepatol, 38, pp.888~895 (2023)
- Gong EJ, "Optimal timing of feeding after endoscopic hemostasis in patients with peptic ulcer bleeding : a randomized, noninferiority trial(CRIS KCT0001019)", Am J Gastroenterol, 115, pp.548~554 (2020)