Importance of endoscopy in the diagnosis of hemorrhages into the digestive tract
Gorokhov, L.I.; Dudnik, V.S.; Mitrofanova, G.M.
Sovetskaia Meditsina 1980(2): 82-86
1980
ISSN/ISBN: 0038-5077 PMID: 6965810 Document Number: 160590
From 1972-1977, 335 patients with diagnosis of gastrointestinal hemorrhages were subjected to endoscopic examination of the upper digestive tract. The source of bleeding was determined in most patients. The following diseases complicated by hemorrhage were diagnosed in 276 patients: gastric, duodenal or anastomotic ulcers (54.6%), erosive hemorrhagic gastroduodenitis (27.5%), gastric cancer (11.6%), varicose dilation of esophageal and gastric veins (2.5%), the Mallory-Weiss syndrome (0.4%), diaphragmatic esophageal hiatus (0.8%), gastric polyposis (0.4%), duodenal diverticulum (0.8%) and undetermined (1.4%). In 59 patients ulcers, cancer or gastritis (all without hemorrhage at time of examination) were diagnosed. Experience in diagnosis of hemorrhages of the upper digestive tract sections demonstrated the expediency of applying a fibroscope at a 180.degree. optic angle as a direct front examination to study the esophagus, stomach and duodenum at the same time which was especially important in patients without prior diagnosis. A 98.6% diagnostic precision was obtained with complex endoscopic and roentgenological examinations.