식도정맥류에 동반된 상부소화관 질환 = Combined Upper Gastrointestinal Lesions with Esophageal Varices

다국어 초록 (Multilingual Abstract)

Upper gastrointestinal bleeding in cirrhotic patients as a serious emergency which is associated with high mortality. Cirrhotic patients comxnonly have, in addition to esophageal varices, other, upper gastrointestinal lesions which account for occasional bleeding episodes. Since the therapy of bleeding esophageal varices differs: from the treatment of nonvarceal bleeding, delay and inaccuracy in determining the source of bleeding contribute to high mortality.
Combined wpper gastrointestinal lesions were analyzed in 263 patients with esophageal varices confirmed by upper gastrointestinal tract endoseopy from January 1976 to August 1983 at Severance Hospital Yonsei University, College o'f :Medicine.
The results were as follows:
1) Of the 263 cases with esophageal varices, 104 uses (39.5) had combined upper gastrointestinal lesions.
2) Of the X63 cases with esophageal varices, 141 cases (53.6) had upper gastrointestinal bleeding and 122 cases (46.4%) did not have 1leeding.
3) Of the 141 cases with upper gastrointestinal bleedng, 107 cases (75.60 had bleeding from esophageal varices only, 29 cases (20.0) from combined upper gastrointestinal lesions and 5 cases (3.4%) from both esophageal varies and combined lesions.
4) Of the 52 cases with upper gastrointestinal bleedittg and combined lesions, 18 cases (34.6) had bleeding from esophageal varices, 29 cases (55.8) from combined upper gastrointestinal lesions and 5 cases (9.) from both esophageal varices and combined lesions.
In conclusion, 39.5 of patients with esophageal varices had various combined upper gastrointestinal lesions and cause of upper gastrointestinal bleeding in patients with esophageal varices and combined upper gastrointestinal lesions was more commonly combined lesions rather than esophageal varices.
It is recommended that all the upper gastrointestinal tact be examined completely to determine the exact cause of upper gastrointestinal bleeding zn patients with esophageal varices.