Prospective, randomized study of diagnosis and outcome in acute upper-gastrointestinal bleeding: Endoscopy versus conventional radiography

David W. Morris, Gary M. Levine, Roger D. Soloway, Wallace T. Miller, Geobel A. Marin

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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 languageEnglish (US)
Pages (from-to)1103-1109
Number of pages7
JournalThe American Journal of Digestive Diseases
Volume20
Issue number12
DOIs
StatePublished - Dec 1975
Externally publishedYes

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ASJC Scopus subject areas

  • Gastroenterology
  • Medicine(all)

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