Studies on Therapeutic Results for the Postoperative Hemorrhagic Acute Gastric Mucosal Lesions -Compared with the Other Hemorrhagic Acute Gastric Mucosal Lesions-

Koichi Sato, Noburu Sakakibara, Yozo Watanabe¹⁾, Hidenori Tsumura¹⁾, Kiyotaka Yabuki¹⁾

First Department of Surgery, Juntendo University School of Medicine
Department of Surgery, Izu-Nagaoka Hospital, Juntendo University School of Medicinei¹⁾

Hemorrhagic acute gastric mucosal lesions (AGML) were classified as postoperative hemorrhagic AGML (postoperative AGML) and other hemorrhagic AGML (other AGML), and its therapeutic results was studied. In postoperative AGML, the rates of the presence of exposed vessels and the rate of going into shock were higher than in the other AGML. The rate of hemostasis, rebleeding and mortality for postoperative AGML was, however, no significant difference compared with other AGML. That is, there was no difference in the intensity of stressor between these two groups. The result of operation was extremely poor, namely, the mortality of surgical therapy for postoperative AGML was 100%. Accordingly, it seems that conservative therapy consisting mainly of intermittent intravenous infusion of H₂ receptor antagonist or continuous intravenous infusion of secretion was most effective in treating postoperative hemorrhagic AGML.

Key words
postoperative acute gastric mucosal lesions, conservative therapy for hemorrhagic acute gastric mucosal lesions, continuous intravenous infusion of secretin, intermittent intravenous infusion of H₂ receptor antagonist

Reprint requests
Koichi Sato First Department of Surgery, Juntendo University School of Medicine
2-1-1 Hongo, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
May 11, 1993

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