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Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract
BACKGROUND/AIMS: The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. METHODS: A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical cent...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Gastrointestinal Endoscopy
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461667/ https://www.ncbi.nlm.nih.gov/pubmed/26064823 http://dx.doi.org/10.5946/ce.2015.48.3.228 |
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author | Shin, Hae Jin Ju, Jong Seok Kim, Ki Dae Kim, Seok Won Kang, Sung Hoon Kang, Sun Hyung Moon, Hee Seok Sung, Jae Kyu Jeong, Hyun Yong |
author_facet | Shin, Hae Jin Ju, Jong Seok Kim, Ki Dae Kim, Seok Won Kang, Sung Hoon Kang, Sun Hyung Moon, Hee Seok Sung, Jae Kyu Jeong, Hyun Yong |
author_sort | Shin, Hae Jin |
collection | PubMed |
description | BACKGROUND/AIMS: The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. METHODS: A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical center in the Daejeon region for Dieulafoy lesions from September 2008 to October 2013, and the records of 132 patients who were admitted during the same period and who underwent endoscopic examination for reasons other than bleeding. We analyzed clinical and endoscopic findings retrospectively, and searched for risk factors associated with Dieulafoy lesion formation. RESULTS: All 42 patients diagnosed with Dieulafoy lesion had accompanying bleeding, and the location of the bleeding was proximal in 25 patients (59.5%), the middle portion in seven patients (16.7%), and distal in 10 patients (23.8%). Antiplatelet agents (p=0.022) and alcohol (p=0.001) use showed statistically significant differences between the two groups. The odds ratios (95% confidence intervals) of the two factors were 2.802 (1.263 to 6.217) and 3.938 (1.629 to 9.521), respectively. CONCLUSIONS: This study showed that antiplatelet agents and alcohol consumption were risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. |
format | Online Article Text |
id | pubmed-4461667 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-44616672015-06-10 Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract Shin, Hae Jin Ju, Jong Seok Kim, Ki Dae Kim, Seok Won Kang, Sung Hoon Kang, Sun Hyung Moon, Hee Seok Sung, Jae Kyu Jeong, Hyun Yong Clin Endosc Original Article BACKGROUND/AIMS: The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. METHODS: A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical center in the Daejeon region for Dieulafoy lesions from September 2008 to October 2013, and the records of 132 patients who were admitted during the same period and who underwent endoscopic examination for reasons other than bleeding. We analyzed clinical and endoscopic findings retrospectively, and searched for risk factors associated with Dieulafoy lesion formation. RESULTS: All 42 patients diagnosed with Dieulafoy lesion had accompanying bleeding, and the location of the bleeding was proximal in 25 patients (59.5%), the middle portion in seven patients (16.7%), and distal in 10 patients (23.8%). Antiplatelet agents (p=0.022) and alcohol (p=0.001) use showed statistically significant differences between the two groups. The odds ratios (95% confidence intervals) of the two factors were 2.802 (1.263 to 6.217) and 3.938 (1.629 to 9.521), respectively. CONCLUSIONS: This study showed that antiplatelet agents and alcohol consumption were risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. The Korean Society of Gastrointestinal Endoscopy 2015-05 2015-05-29 /pmc/articles/PMC4461667/ /pubmed/26064823 http://dx.doi.org/10.5946/ce.2015.48.3.228 Text en Copyright © 2015 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Shin, Hae Jin Ju, Jong Seok Kim, Ki Dae Kim, Seok Won Kang, Sung Hoon Kang, Sun Hyung Moon, Hee Seok Sung, Jae Kyu Jeong, Hyun Yong Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract |
title | Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract |
title_full | Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract |
title_fullStr | Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract |
title_full_unstemmed | Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract |
title_short | Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract |
title_sort | risk factors for dieulafoy lesions in the upper gastrointestinal tract |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461667/ https://www.ncbi.nlm.nih.gov/pubmed/26064823 http://dx.doi.org/10.5946/ce.2015.48.3.228 |
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