Tóm tắt
Background: Upper gastrointestinal bleeding (UGIB) is a medical and surgical emergency with a poor prognosis. Upper gastrointestinal endoscopy remains the gold standard for diagnosing esophageal variceal. However, the integration of risk factors, clinical and endoscopic findings plays a crucial role in formulating treatment strategies, prognostication, and preventing rebleeding in patients with Upper gastrointestinal bleeding. Subjects and methods: A cross-sectional study conducted on 38 patients with Acute esophageal variceal Bleeding at the Gastrointestinal Endoscopy Center, Hue University of Medicine and Pharmacy Hospital from November 2023 to November 2024. Results: Melena was the most common symptom in patients with Acute esophageal variceal bleeding. Grade III esophageal variceal were the most common endoscopic finding, present in 65.9% of patients. Other endoscopic findings included: cherry red spots: 57.8%; red wale marks: 26.3%; diffuse redness: 8.1%; blood blisters: 7.8%. Lower platelet counts were associated with more severe gastrointestinal bleeding. Grade III esophageal variceal and red wale marks were the most common findings across all severity of gastrointestinal bleeding. Conclusion: Acute esophageal variceal bleeding is a life-threatening complication with high mortality. Risk factors such as medical history, hemoglobin levels, platelet counts, and endoscopic characteristics are related to the extent of bleeding for these patients.
| Đã xuất bản | 30-04-2026 | |
| Toàn văn |
|
|
| Ngôn ngữ |
|
|
| Số tạp chí | Tập 16 Số 02 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.2.969 | |
| Từ khóa |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2026 Tạp chí Y Dược Huế
Saydam S.S, Molnar M, Vora P. The global epidemiology of upper and lower gastrointestinal bleeding in general population: A systematic review. World J Gastrointest Surg 2023 Apr 27; 15(4):723-739.
LaBrecque D, Khan A.G, Sarin S.K, et al. Esophageal Varices Guideline. World Gastroenterology Organisation Practice guideline; 2014.
Luu Trong Nghia, Huynh Hieu Tam. Prognostic value of aims65 scores in patients with variceal gastrointestinal bleeding. Can Tho Journal of Medicine and Pharmacy 2022; 51:244-250.
Ratiu I, Lupusoru R, Popescu A, et al. Acute gastrointestinal bleeding: A comparison between variceal and nonvariceal gastrointestinal bleeding. Medicine 2022 Nov 11; 101(45): e31543.
Lee H.A, Kwak J, Cho S.B, et al. Endoscopic variceal obturation and retrograde transvenous obliteration for acute gastric cardiofundal variceal bleeding in liver cirrhosis. BMC Gastroenterol 2022 Jul 26; 22(1): 355-364.
Guinazu C, Munoz. A.F, Maldonado M.D, et al. Assessing the Predictive Factors for Bleeding in Esophageal Variceal Disease: A Systematic Review. Cureus Nov 17;15(11): e48954.
Nguyen Thi Huyen Trang, Nguyen Tien Thinh et al. The value of ABC score for prognosis of acute variceal bleeding in patients with cirrhosis. Journal of 108 - clinical medicine and pharmacy 2023; 18(5):1-7.
Wang Z, Xie Y.W, Lu Q, Yan H.L, et al. The impact of albumin infusion on the risk of rebleeding and in-hospital mortality in cirrhotic patients admitted for acute gastrointestinal bleeding: a retrospective study of a single institute. BMC Gastroenterol 2020 Jun 23; 20(1):198-207.
Ghweil A, Arafa U, Khodeary A, Salem A. Predictors of Bleeding from Esophageal Variceal: The Role of Factor VII and von Willebrand Factor (vWF). Open Journal of Gastroenterology 2014 April 4(4): 152-158.