Brief Articles
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 28, 2009; 15(32): 4023-4027
Published online Aug 28, 2009. doi: 10.3748/wjg.15.4023
Risk factors for rebleeding after angiographically negative acute gastrointestinal bleeding
Ijin Joo, Hyo-Cheol Kim, Jin Wook Chung, Hwan Jun Jae, Jae Hyung Park
Ijin Joo, Hyo-Cheol Kim, Jin Wook Chung, Hwan Jun Jae, Jae Hyung Park, Department of Radiology, Seoul National University College of Medicine; Institute of Radiation Medicine, Seoul National University Medical Research Center; Clinical Research Institute, Seoul National University Hospital, Seoul 110-744, South Korea
Author contributions: Joo I and Kim HC designed the study, analyzed the data and wrote the paper; Joo I, Kim HC, Chung JW, Jae HJ and Park JH performed the study and reviewed the paper.
Correspondence to: Hyo-Cheol Kim, MD, Department of Radiology, Seoul National University Hospital, # 28 Yongon-dong, Chongno-gu, Seoul 110-744, South Korea. hyocheol@radiol.snu.ac.kr
Telephone: +82-2-20722257
Fax: +82-2-7436385
Received: May 19, 2009
Revised: July 27, 2009
Accepted: August 3, 2009
Published online: August 28, 2009
Abstract

AIM: To identify possible predictive factors for rebleeding after angiographically negative findings in patients with acute non-variceal gastrointestinal bleeding.

METHODS: From January 2000 to July 2007, 128 patients with acute non-variceal gastrointestinal bleeding had negative findings after initial angiography. Clinical and laboratory parameters were analyzed retrospectively.

RESULTS: Among 128 patients, 62 had no recurrent gastrointestinal bleeding and 66 had recurrent gastrointestinal bleeding within 30 d. As determined by the use of multivariate analysis, an underlying malignancy, liver cirrhosis and hematemesis were significant factors related to recurrent gastrointestinal bleeding.

CONCLUSION: Clinical factors including underlying malignancy, liver cirrhosis, and hematemesis are important predictors for rebleeding after angiographically negative findings in patients with acute non-variceal gastrointestinal bleeding.

Keywords: Angiography; Gastrointestinal hemorrhage; Predictive factor