Abstract
Sixty patients with mild to moderate upper-gastrointestinal bleeding were admitted to a prospective, controlled study of diagnosis and management, and were randomized to endoscopy or upper-gastrointestinal (UGI) barium series as the initial study. Definitive localization of the source of bleeding was made initially in 69% of the endoscopy group and 21% of the UGI group (P<0.0005). Of 54 patients undergoing both studies, endoscopy was definitive in 67% and UGI series in 22%. Thus, endoscopy also made more diagnoses when used as the second study (P<.01). The use of endoscopy as the initial procedure led to significantly more rapid diagnosis than with UGI series. However, there were no significant differences between the two groups in clinical outcome. Endoscopy is the initial diagnostic procedure of choice in patients with mild to moderate upper-gastrointestinal bleeding because it enables detection of superficial bleeding lesions and has significantly increased the speed of diagnosis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1103-1109 |
| Number of pages | 7 |
| Journal | The American Journal of Digestive Diseases |
| Volume | 20 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 1975 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Gastroenterology
- Medicine(all)
Cite this
Prospective, randomized study of diagnosis and outcome in acute upper-gastrointestinal bleeding : Endoscopy versus conventional radiography. / Morris, David W.; Levine, Gary M.; Soloway, Roger D.; Miller, Wallace T.; Marin, Geobel A.
In: The American Journal of Digestive Diseases, Vol. 20, No. 12, 12.1975, p. 1103-1109.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prospective, randomized study of diagnosis and outcome in acute upper-gastrointestinal bleeding
T2 - Endoscopy versus conventional radiography
AU - Morris, David W.
AU - Levine, Gary M.
AU - Soloway, Roger D.
AU - Miller, Wallace T.
AU - Marin, Geobel A.
PY - 1975/12
Y1 - 1975/12
N2 - Sixty patients with mild to moderate upper-gastrointestinal bleeding were admitted to a prospective, controlled study of diagnosis and management, and were randomized to endoscopy or upper-gastrointestinal (UGI) barium series as the initial study. Definitive localization of the source of bleeding was made initially in 69% of the endoscopy group and 21% of the UGI group (P<0.0005). Of 54 patients undergoing both studies, endoscopy was definitive in 67% and UGI series in 22%. Thus, endoscopy also made more diagnoses when used as the second study (P<.01). The use of endoscopy as the initial procedure led to significantly more rapid diagnosis than with UGI series. However, there were no significant differences between the two groups in clinical outcome. Endoscopy is the initial diagnostic procedure of choice in patients with mild to moderate upper-gastrointestinal bleeding because it enables detection of superficial bleeding lesions and has significantly increased the speed of diagnosis.
AB - Sixty patients with mild to moderate upper-gastrointestinal bleeding were admitted to a prospective, controlled study of diagnosis and management, and were randomized to endoscopy or upper-gastrointestinal (UGI) barium series as the initial study. Definitive localization of the source of bleeding was made initially in 69% of the endoscopy group and 21% of the UGI group (P<0.0005). Of 54 patients undergoing both studies, endoscopy was definitive in 67% and UGI series in 22%. Thus, endoscopy also made more diagnoses when used as the second study (P<.01). The use of endoscopy as the initial procedure led to significantly more rapid diagnosis than with UGI series. However, there were no significant differences between the two groups in clinical outcome. Endoscopy is the initial diagnostic procedure of choice in patients with mild to moderate upper-gastrointestinal bleeding because it enables detection of superficial bleeding lesions and has significantly increased the speed of diagnosis.
UR - http://www.scopus.com/inward/record.url?scp=0016790954&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0016790954&partnerID=8YFLogxK
U2 - 10.1007/BF01070752
DO - 10.1007/BF01070752
M3 - Article
VL - 20
SP - 1103
EP - 1109
JO - Digestive Diseases and Sciences
JF - Digestive Diseases and Sciences
SN - 0163-2116
IS - 12
ER -