Document Detail


The natural history (fading time) of stigmata of recent hemorrhage in peptic ulcer disease.
MedLine Citation:
PMID:  7988819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From October 1991 to December 1992, 144 patients with bleeding peptic ulcer and stigmata of recent hemorrhage were included in a study designed to investigate, by means of endoscopic examinations repeated at 2-day intervals, the evolutionary development of stigmata of recent hemorrhage, such as visible vessels, and to determine the time required for each type of stigma to fade. Eighty-five patients underwent endoscopic follow-up until the stigmata had disappeared. A visible vessel takes about 4.1 +/- 2.1 days to disappear, requiring significantly more time than an adherent clot or an old stigma, which take 2.4 +/- 0.8 days and 2.4 +/- 1.3 days, respectively (p < .05). Bleeding does not recur after stigmata disappear. Time required for stigmata to fade is not affected by age, sex, smoking, history of peptic ulcer, ulcer location, severe bleeding, underlying systemic disease, or endoscopic local therapy. While healing, stigmata of recent hemorrhage evolve through a sequence of phases: a visible vessel may or may not appear as an adherent clot and then as a red or black flat spot before disappearing.
Authors:
C C Yang; J S Shin; X Z Lin; P I Hsu; K W Chen; C Y Lin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  40     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:    1994 Sep-Oct
Date Detail:
Created Date:  1995-01-11     Completed Date:  1995-01-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  562-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Endoscopy, Gastrointestinal
Female
Humans
Male
Middle Aged
Peptic Ulcer Hemorrhage / pathology*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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