Prospective comparison of double-contrast barium meal examination and fibreoptic endoscopy in acute upper gastrointestinal haemorrhage.

作者: G W Stevenson , R R Cox , C J Roberts

DOI: 10.1136/BMJ.2.6038.723

关键词: Prospective cohort studyEsophageal diseaseDuodenal DiseasesMedicineRadiologyUpper gastrointestinalBarium sulfateDouble contrast barium mealEndoscopyAcute upper gastrointestinal haemorrhageGeneral Medicine

摘要: Fibre-optic endoscopy was compared prospectively with double-contrast radiology in 53 consecutive patients admitted acute gastrointestinal haemorrhage. The bleeding site correctly identified by 94% of and the final diagnosis given 89%. corresponding figures were 83% 74%. Among 50 a upper tract indicated all it 88%. Both investigations well tolerated patients. Endoscopy is investigation choice, but when not available will show 80-90%

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