The Korean Journal of Medicine

  • 제99권5호
  • /
  • Pages.240-242
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  • 2024
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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소화성 궤양 출혈의 임상 성적

Clinical Outcomes of Peptic Ulcer Bleeding

  • 차보람 (인하대학교 의과대학 내과학교실)
  • Boram Cha (Department of Internal Medicine, Inha University College of Medicine)
  • 투고 : 2024.05.27
  • 심사 : 2024.08.08
  • 발행 : 2024.10.01
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초록

Despite advancements in endoscopic technology and drug therapy, the high mortality and rebleeding rates associated with hemorrhagic peptic ulcers remain a concern. Although further research is needed to validate contributing factors, I recommend use of the Rockall score to predict the rebleeding risk in patients with peptic ulcers. Greater caution should be exercised, particularly in hospitalized patients, those who have undergone pancreatic surgery, and those with bleeding due to Dieulafoy's lesions. Delaying resumption of an oral diet for at least 24 hours after endoscopic bleeding control is also advisable.

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참고문헌

  1. Noh JH, Cha B, Ahn JY, et al. Scoring systems for predicting clinical outcomes in peptic ulcer bleeding. Medicine (Baltimore) 2022;101:e30410.
  2. Budimir I, Stojsavljevic S, Barsic N, et al. Scoring systems for peptic ulcer bleeding: which one to use? World J Gastroenterol 2017;23:7450-7458.
  3. Yang EH, Cheng HC, Wu CT, Chen WY, Lin MY, Sheu BS. Peptic ulcer bleeding patients with Rockall scores ≥6 are at risk of long-term ulcer rebleeding: a 3.5-year prospective longitudinal study. J Gastroenterol Hepatol 2018;33:156-163.
  4. Cha B, Noh JH, Ahn JY, et al. Clinical outcomes of patients with benign peptic ulcer bleeding after an emergency endoscopy based on patient location. Dig Dis Sci 2023;68:1539-1550.
  5. Seo JY, Noh JH, Ahn JY, et al. Clinical outcomes of marginal ulcer bleeding compared with those of peptic ulcer bleeding. Surg Endosc 2023;37:3852-3860.
  6. Jo SY, Noh JH, Cha B, et al. Clinical outcomes of Dieulafoy's lesion compared with peptic ulcer in upper gastrointestinal bleeding. J Gastroenterol Hepatol 2023;38:888-895.
  7. Gong EJ, Lee SJ, Jun BG, et al. Optimal timing of feeding after endoscopic hemostasis in patients with peptic ulcer bleeding: a randomized, noninferiority trial (CRIS KCT0001019). Am J Gastroenterol 2020;115:548-554.