2024-03-29T12:55:49Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00024172
2022-12-15T03:54:22Z
453:456
471:537:538:1234
食道静脈瘤出血の内視鏡的検討
食道静脈瘤出血の内視鏡的検討
Endoscopic Studies of Variceal Bleeding
馬場, 佳弘
永田, 邦夫
塚田, 芳久
山田, 雅之
渡辺, 裕
富沢, 峰雄
市田, 文弘
endoscopic examination
variceal bleeding
内視鏡的検討
静脈瘤出血
Endoscopic examination was performed on 287 patients of chronic liver diseases. Esophageal varices were detected in 213 patients and classified according to the criteria proposed by Japanese Comnities on Portal Hypertension (1979). Variceal bleeding occurred in 1.9% of white varix and 9.3% of blue varix. There was not a statistical difference between them (P<0.05). Bleeding was significantly more frequent in the patients associated with R-Csign (particularly, hematocystic spot, cherry-red spot and red wale marking). Bleeding was found in 2.9% of varices in inferior location (Li), 29.6% in medial location (Lm) and 42.1% in superior location (Ls). There were statistical differences between Li and Lm and Li and Ls (p<0.01). Bleeding occurred in 3.6% of string-like venous dilatation (F1), 19.8% of medium sized varices (F2) and 45.5% of large or nodular varices (F3). There were statistical differences among them, respectively (p<0.01). On the other hand, we investigated the natural course of the esophageal varices in 93 patients using this criteria. Worsening in endoscopical findings was seen in 57 patients (61.3%) and 36 patients remained in the same endoscopical findings. This worsening was observed along with time, in 82.5% of the petients who had been followed up over a period of two years. Bleeding patients took shorter period in worsening of endoscopical findings than that of no bleeding one. Variceal bleeding were found in 24.6% of worsening group and 16.7% of remained group, there was not a statistical difference between them.
新潟医学会
1987-05
jpn
departmental bulletin paper
http://hdl.handle.net/10191/36460
https://niigata-u.repo.nii.ac.jp/records/24172
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
101
5
329
335
https://niigata-u.repo.nii.ac.jp/record/24172/files/101(5)_329-335.pdf
application/pdf
651.8 kB
2019-08-19