| Editorial: Upper GI bleeding-associated mortality: challenges to improving a resistant outcome. | |
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MedLine Citation:
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PMID: 20054306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although the incidence of peptic ulcer bleeding (PUB) has decreased, mortality has remained constant despite the advances in endoscopic and pharmacological therapies. Recent data indicate that most PUB-linked deaths are not direct sequelae of the bleeding ulcer itself. Instead, mortality derives from multi-organ failure, cardiopulmonary conditions, or terminal malignancy, suggesting that improving treatments for the bleeding ulcer may impact mortality by very little. Recognizing this possibility is paramount for the implementation of strategies that provide supportive care and prevent complications and key-organ failure, as well as treat the ulcer. Identifying non-gastrointestinal (GI) risk factors for poor outcomes and a multidisciplinary approach for high-risk patients should help to affect this hard outcome. |
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Authors:
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Angel Lanas |
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Publication Detail:
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Type: Comment; Editorial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of gastroenterology Volume: 105 ISSN: 1572-0241 ISO Abbreviation: Am. J. Gastroenterol. Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-01-07 Completed Date: 2010-02-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0421030 Medline TA: Am J Gastroenterol Country: United States |
Other Details:
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Languages: eng Pagination: 90-2 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cause of Death Comorbidity Female Gastroscopy Hong Kong / epidemiology Humans Incidence Male Middle Aged Peptic Ulcer Hemorrhage / mortality* Risk Factors Sex Factors World Health |
| Comments/Corrections | |
Comment On:
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Am J Gastroenterol. 2010 Jan;105(1):84-9
[PMID:
19755976
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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