Original Article
Clinical features and treatment of rare etiologies of upper gastrointestinal bleeding
Di Lu, Yini Li, Minghao Wu, Li Yang, Yuming Yang, Peng Liu, Zhan Liu
Published 2016-07-20
Cite as J Chin Physician, 2016, 18(7): 1025-1027,1030
. DOI: 10.3760/cma.j.issn.1008-1372.2016.07.018
Abstract
ObjectiveTo explore the clinical features and treatment of upper gastrointestinal bleeding with rare etiologies.
MethodsA total of 45 cases with rare etiologies was selected from a group of 1200 patients with upper gastrointestinal bleeding admitted from January 2012 to December 2015.
ResultsThe incidence of gastric stromal tumor (24.4%) and Dieulafoy's lesion (20.0%) was the highest. Among rare etiologies of upper gastrointestinal bleeding were Mallory-Weiss syndrome (17.8%) and stomal ulcer and hemorrhage of efferent loops after subtotal gastrectomy (17.8%), as well as left-side portal hypertension (6.7%), liver cirrhosis complicated with variceal bleeding in the descending part of the duodenum (2.1%), esophageal hematoma (2.1%), esophageal mucosa avulsion (2.1%), P-J syndrome (2.1%), duodenal adenocarcinoma (2.1%), and cutaneous malignant melanoma with duodenal metastasis (2.1%).
ConclusionsGastroscopy in early stages played a role in etiologies identification, while etiological treatments could substantially reduce recurrent bleeding rate, thus enhanced cure rate. Analysis on rare etiologies promoted the medical understanding, with clinical diagnosis and treatment improved.
Key words:
Gastrointestinal hemorrhage/ET/TH
Contributor Information
Di Lu
Department of Gastroenterology, Hunan Provincial People's Hospital, Hunan Normal University, Changsha 410005, China
Yini Li
Minghao Wu
Li Yang
Yuming Yang
Peng Liu
Zhan Liu
