Wang XJ, Shi YP, Wang L, Li YN, Xu LJ, Zhang Y, Han S. Clinical characteristics of acute non-varicose upper gastrointestinal bleeding and the effect of endoscopic hemostasis. World J Clin Cases 2024; 12(9): 1597-1605 [PMID: 38576734 DOI: 10.12998/wjcc.v12.i9.1597]
Corresponding Author of This Article
Shuang Han, PhD, Professor, Department of Gastroenterology, Honghui Hospital Affiliated to Medicine College of Xi’an Jiaotong University, No. 555 Youyi East Road, Xi’an 710054, Shaanxi Province, China. shuanghamy@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Clin Cases. Mar 26, 2024; 12(9): 1597-1605 Published online Mar 26, 2024. doi: 10.12998/wjcc.v12.i9.1597
Table 1 Clinical characteristics of the included patients
Items
Number
Percentage
Sex
Men
396
74.44
Women
136
25.56
Age (yr)
Young group (age < 40)
139
26.13
Middle-aged group (age < 60 but ≥ 40)
221
41.54
Elderly group (age ≥ 60)
172
32.33
Chief complaint
Melena
232
43.60
Hematemesis
146
27.40
Both hematemesis and melena
90
17.00
Abdominal pain
32
6.00
Atypical complaints (dizziness, weakness)
32
6.00
Hemoglobin levels
Hb ≤ 30 g/L
8
1.50
Hb 30-60 g/L
58
10.90
Hb 60-90 g/L
203
38.20
Hb 90-120 g/L
134
25.20
Hb ≥ 120 g/L
129
24.20
Precipitating factor
Drugs
129
24.20
Alcohol
84
15.80
Diet
15
2.80
Psychological factors
21
4.00
No precipitating factor
283
53.20
Table 2 Relationship between acute non-varicose upper digestive hemorrhage pathogenesis and age group
Age group
Drugs
Alcohol
Diet
Psychological factors
Young group
6
51
7
7
Middle-aged group
36
28
3
9
Elderly group
86
6
5
5
χ2
76.563
35.741
1.600
1.143
P value
0.000
0.000
0.449
0.565
Table 3 Relationship between acute non-varicose upper digestive hemorrhage etiology and age group
Age group
Duodenal ulcer
Gastric ulcer
Complex ulcer
Cancer
Acute gastric mucosal lesions
Young group
75
18
20
2
23
Middle-aged group
101
48
27
8
25
Elderly group
37
50
6
48
5
χ2
29.183
16.621
12.943
64.690
13.736
P value
0.000
0.000
0.002
0.000
0.001
Table 4 Statistics of rebleeding after acute non-varicose upper digestive hemorrhage endoscopic hemostasis
Number
Percentage
Rebleeding was recorded within 72 h after endoscopic treatment
7
10.9
Rebleeding was recorded 72 h after endoscopic treatment
4
6.3
No further bleeding after endoscopic treatment
53
82.8
Citation: Wang XJ, Shi YP, Wang L, Li YN, Xu LJ, Zhang Y, Han S. Clinical characteristics of acute non-varicose upper gastrointestinal bleeding and the effect of endoscopic hemostasis. World J Clin Cases 2024; 12(9): 1597-1605