Panendoscopy in the early diagnosis of acute upper gastrointestinal bleeding

R. M. Katon, F. W. Smith

Research output: Contribution to journalArticlepeer-review

97 Scopus citations

Abstract

In 100 consecutive major upper gastrointestinal bleeders, panendoscopy (esophagogastroduodenoscopy) was employed as the initial diagnostic procedure, and documented the source of hemorrhage in 92% of cases. The 'emergency' upper gastrointestinal series added another 2 diagnoses (duodenal ulcers missed on endoscopy). Emergency surgery also added 2 diagnoses, and in both of these patients endoscopy had directed the surgeon to the correct area of bleeding (gastric fundal ulcers). 19 fewer diagnoses would have been made if endoscopy had been limited to visualization of the esophagus and stomach.

Original languageEnglish (US)
Pages (from-to)728-734
Number of pages7
JournalGastroenterology
Volume65
Issue number5
DOIs
StatePublished - 1973
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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