A prospective study of upper gastrointestinal hemorrhage in patients with hepatocellular carcinoma
Publication in refereed journal


引用次數
替代計量分析
.

其它資訊
摘要Our purpose was to determine, in a prospective study, the causes of gastrointestinal hemorrhage in patients with hepatocellular carcinoma, and the relationship of portal vein invasion with variceal hemorrhage in these patients. During an 11-month period, 55 patients presented with hepatocellular carcinoma presented with signs and/or symptoms of upper gastrointestinal hemorrhage. Forty-seven percent had bleeding from varices, whereas the majority, 53%, had a nonvariceal bleeding source. Among those with nonvariceal bleeding, duodenal ulceration was the commonest cause. Direct tumor invasion into the gastrointestinal tract was found in three patients. Tumor invasion of the portal venous system was detected by ultrasound examination in 76% of the variceal bleeders, compared to only 45% of the nonvariceal bleeders. Despite the very high frequency of cirrhosis among patients with hepatocellular carcinoma, the source of bleeding was variceal in less than half of the patients. Portal vein invasion is a risk factor for subsequent variceal bleed.
著者Yeo W, Sung JY, Ward SC, Chung SCS, Lee WY, Li AKC, Johnson PJ
期刊名稱Digestive Diseases and Sciences
出版年份1995
月份12
日期1
卷號40
期次12
出版社PLENUM PUBL CORP
頁次2516 - 2521
國際標準期刊號0163-2116
電子國際標準期刊號1573-2568
語言英式英語
關鍵詞gastrointestinal hemorrhage; hepatocellular carcinoma; portal vein thrombosis
Web of Science 學科類別Gastroenterology & Hepatology; GASTROENTEROLOGY & HEPATOLOGY

上次更新時間 2021-13-09 於 00:40