GARY R. ZUCKERMAN, D.O.; GARY L. CORNETTE, D.O.; RAY E. CLOUSE, M.D.; HERSCHEL R. HARTER, M.D.
Endoscopy to evaluate upper gastrointestinal bleeding was done for 482 patients over a 42-month period. Fifty-nine patients (12%) had chronic renal failure and upper gastrointestinal bleeding; the remaining 423 did not have renal failure. Angiodysplasia of the stomach or duodenum was the most frequent source of bleeding in patients with renal failure. Angiodysplasia (p < 0.001) and erosive esophagitis (p < 0.01) were significantly commoner causes of bleeding in the renal failure population than in the group without renal failure. Recurrent bleeding was also more frequent in patients with renal failure (25%) than in the other patients (11%). Angiodysplasia was the most frequent source of recurrent bleeding in patients with renal failure (53%) whereas peptic lesions were the most likely sources in those without renal failure (51%). These data show that the differential diagnoses of first and subsequent upper gastrointestinal bleeding sites differ for patients with and without chronic renal failure.
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ZUCKERMAN GR, CORNETTE GL, CLOUSE RE, HARTER HR. Upper Gastrointestinal Bleeding in Patients with Chronic Renal Failure. Ann Intern Med. 1985;102:588–592. doi: 10.7326/0003-4819-102-5-588
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Published: Ann Intern Med. 1985;102(5):588-592.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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