Bleeding Peptic Ulcer - Tertiary Center Experience: Epidemiology, Treatment and Prognosis.

In conclusion, PUB is the main cause of UGIB, characterized by a significant rebleeding rate and mortality. PMID: 29590726 [PubMed - in process]
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research

Related Links:

ConclusionsBleeding requiring transfusion is an under-reported complication of hemorrhoids. Increased recognition could lead to expeditious surgical treatment and less costly diagnostic workup.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Authors: Pessia B, Ciarrocchi A, Marinelli S, Pietroletti R Abstract A young lady complained of the sudden onset of intense chest pain, in consequence of an extreme hyperextension of the back in a yoga position. At endoscopy a large lesion of the esophageal epithelium was detected, involving the middle third of the anterior wall of the esophagus. Other symptoms reported by the patient were dysphagia and odynophagia, depicting the typical features of intramural hematoma, also known as intramural dissection or intramural perforation of the oesophagus. The patient was managed conservatively and symptoms disappeared wi...
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
Conclusion: Marked difference noted between two groups in Aptt prolongation, INR elevation, ALT level, S.Fibrinogen, CCHF IgM positivity, major bleeding symptoms and CNS involvement while no such major difference seen in other parameters like platelet count, total WBC count and other clinical parameters. Further study with large sample size from indian patients needed to confirm above findings. PMID: 31801328 [PubMed - in process]
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Publication date: December 2019Source: Canadian Journal of Cardiology, Volume 35, Issue 12Author(s): François-Pierre Mongeon, Laurent Macle, Luc M. Beauchesne, Berto J. Bouma, Markus Schwerzmann, Barbara J.M. Mulder, Paul KhairyAbstractNon-vitamin K antagonist (VKA) oral anticoagulants (NOACs) have several advantages over VKAs that render them an attractive option for adults with congenital heart disease (CHD). Efficacy and safety data specific to the adult CHD population are emerging. Herein, we synthesize the growing literature regarding NOACs in adults with CHD and attempt to identify subgroups for which it appea...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
Atrial fibrillation (AF) is associated with a substantially higher risk of thromboembolism, particularly stroke events, resulting in significant morbidity and mortality. Oral anticoagulation (OAC), while effective in reducing embolic events in AF patients, is associated with an increased bleeding risk. Thus, not all patients with AF are candidates for OAC and some are only candidates for OAC in the short term. Of the available nonpharmacologic strategies for the management of AF, left atrial appendage occlusion (LAAO) has emerged as a potential approach for reducing the risk of systemic thromboembolism in AF patients eligi...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
CONCLUSIONS: This smartphone application coupled with targeting device can be used in various settings such as EVD placement in hydrocephalus and in other brain targeting candidates in emergency settings. Also, it may be used in any emergency or neurosurgery department centers with no access to advanced neuro-imaging facilities, only using patient's simple cranial measures to achieve acceptable and highly accurate brain targeting compared with conventional, time consuming and costly techniques. We plan to expand this study to clinical trials for further evaluation. PMID: 31802048 [PubMed - in process]
Source: Hellenic Journal of Nuclear Medicine - Category: Nuclear Medicine Tags: Hell J Nucl Med Source Type: research
British Journal of Cancer, Published online: 06 December 2019; doi:10.1038/s41416-019-0668-2First-time postmenopausal bleeding as a clinical marker of long-term cancer risk: A Danish Nationwide Cohort Study
Source: British Journal of Cancer - Category: Cancer & Oncology Authors: Source Type: research
AbstractIn the current era of percutaneous coronary intervention (PCI), with the use of contemporary drug-eluting stents, refined techniques, and adjunctive pharmacotherapy, the role of aspirin peri-PCI remains undisputable. Beyond the initial period, dual antiplatelet therapy (DAPT) consisting of aspirin and a P2Y12 receptor inhibitor for 6 months in stable coronary artery disease and 12 months in acute coronary syndromes is the standard of care. However, concerns regarding bleeding adverse events caused by aspirin have led to shortened DAPT duration or even omission of aspirin. Aspirin free-strategies have been increasin...
Source: Cardiovascular Drugs and Therapy - Category: Cardiology Source Type: research
CONCLUSION: Over the 23 years studied, the causes of NVUGB changed, probably because the population was increasingly elderly population and because of the use of anticoagulants and better therapeutic approaches to chronic duodenal ulcers. The use of emergency surgical hemostasis reduced, but mortality rate did not significantly change between the two specific periods. PMID: 31258140 [PubMed - as supplied by publisher]
Source: The Turkish Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: Turk J Gastroenterol Source Type: research
An 87-year-old woman has a 6-year history of chronic kidney disease with medical control and valvular heart disease status post metal valve repair in 2011. She had underwent warfarin therapy for 5 years. Passage of melena developed 6 days prior to admission and normocytic anemia (hemoglobin: 4.0 mg/dl) was observed. Pale conjunctiva and epigastric tenderness were found during physical examination. Esophagog astroduodenoscopy revealed gastric ulcer (Forrest IIa), duodenal ulcer scars with luminal deformity and delayed gastric emptying. Although endoscopic hemostasis was underwent, passage of tarry stool presente...
Source: QJM - Category: Internal Medicine Source Type: research
More News: Bleeding | Croatia Health | Duodenal Ulcer | Emergency Medicine | Endoscopy | Epidemiology | Gastric Ulcer | Gastroenterology | General Medicine | Peptic Ulcer | Study | Upper Endoscopy