TY - JOUR
T1 - Gastrointestinal hemorrhage in the cancer patient
AU - Shivshanker, K.
AU - Chu, David Z.J.
AU - Stroehlein, John R.
AU - Nelson, Robert S.
PY - 1983
Y1 - 1983
N2 - The usefulness of fiberoptic endoscopy, performed to identify the cause(s) of gastrointestinal bleeding in cancer patients was assessed by (1) identifying the clinical presentation of bleeding, (2) evaluating the safety and diagnostic yield of fiberoptic endoscopy, (3) determining the frequency distribution of causes of bleeding, and (4) evaluating the clinical course following acute gastrointestinal bleeding in a cancer patient population. Hematemesis, melena, and hematochezia were observed in decreasing order of frequency as manifestations of bleeding. Of 187 endoscopic procedures performed on 133 patients, 75% were bleeding from benign lesions with the majority due to gastric ulceration, gastritis, or duodenal ulceration. One third of patients with tumors involving the gastrointestinal tract were bleeding from another source. Mortality from major hemorrage was 8%; 55% of patients were alive at the end of 2 years. Endoscopy was performed without complications and contributed to medical management, angiographic therapy, and surgical planning.
AB - The usefulness of fiberoptic endoscopy, performed to identify the cause(s) of gastrointestinal bleeding in cancer patients was assessed by (1) identifying the clinical presentation of bleeding, (2) evaluating the safety and diagnostic yield of fiberoptic endoscopy, (3) determining the frequency distribution of causes of bleeding, and (4) evaluating the clinical course following acute gastrointestinal bleeding in a cancer patient population. Hematemesis, melena, and hematochezia were observed in decreasing order of frequency as manifestations of bleeding. Of 187 endoscopic procedures performed on 133 patients, 75% were bleeding from benign lesions with the majority due to gastric ulceration, gastritis, or duodenal ulceration. One third of patients with tumors involving the gastrointestinal tract were bleeding from another source. Mortality from major hemorrage was 8%; 55% of patients were alive at the end of 2 years. Endoscopy was performed without complications and contributed to medical management, angiographic therapy, and surgical planning.
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U2 - 10.1016/S0016-5107(83)72630-1
DO - 10.1016/S0016-5107(83)72630-1
M3 - Article
C2 - 6605894
AN - SCOPUS:0021026647
SN - 0016-5107
VL - 29
SP - 273
EP - 275
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 4
ER -