Original Article : Changes in the Clinical Outcomes of Variceal Bleeding in Cirrhotic Patients: A 10-Year Experience in Gangwon Province, South Korea
분야
의약학 > 내과학
저자
( Young Don Kim ) , ( Gab Jin Cheon ) , ( Moon Young Kim ) , ( Ki Tae Suk ) , ( Soon Koo Baik ) , ( Dong Joon Kim )
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대한소화기학회
간행물정보
Gut and Liver 2012년, 제6권 제4호, 476~481페이지(총6페이지)
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07811325.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Background/Aims: Variceal rupture is one of the main causes of mortality in cirrhotic patients. However, there are limited data on the long-term outcomes of variceal bleeding. Methods: We investigated the incidence and mortality of variceal bleeding at three endoscopic centers in Gangwon province during 3 periods (August 1996 to July 1997, August 2001 to July 2002, and August 2006 to July 2007). Results: A total of 1,704 upper gastrointestinal (GI) bleedings occurred during the study periods. Peptic ulcers were found in 825 patients (48.5%), and variceal ruptures were found in 607 patients (35.6%). The variceal bleeding rate did not decrease in each period (26.0% vs 43.7% vs 33.9%, respectively). In the variceal bleeding group, the 6-week mortality rate steadily and significantly decreased (15.5% vs 10.8% vs 6.4%, respectively, p=0.027). In addition, the mortality rate was significantly higher in the variceal bleeding group than in the non-variceal bleeding group (10.4% vs 2.0%, p<0.001; odds ratio, 5.659; 95% confidence interval, 3.445 to 9.295). Conclusions: Variceal bleeding was still the major cause of upper GI bleedings and did not decrease in prevalence over the 10-year period in Gangwon province, South Korea. How-ever, the mortality rate of variceal bleeding decreased signifi-cantly. (Gut Liver 2012;6:476-481)
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