Correlation between Endoscopic Morphology and Bleeding of Gastric Ulcer

Author:

Xiaohua He1ORCID

Affiliation:

1. Department of Emergency, Ganzhou People’s Hospital, Ganzhou, Jiangxi 341000, China

Abstract

Objective. To improve the safety and reliability of gastric ulcer treatment, the emergence of digestive endoscopy technology in recent years has become a conventional method for the diagnosis of peptic ulcer bleeding. Endoscopic characteristics can judge the severity of patients more accurately and comprehensively, provide a basis for follow-up treatment, and judge the prognosis. Methods. 298 patients with a suspected gastric ulcer who underwent laryngeal gastroduodenal endoscopy and confirmed gastroduodenal ulcer in our hospital in recent half a year were randomly selected. Olympus cv-170 electronic gastroscope machine was used to carry out gastroscopy for patients with gastric ulcers, analyze, and judge the number of bleeding cases in different stages of treatment, such as lesion type, lesion location, patient age, and gender. The statistics of bleeding cycle and bleeding volume, prognosis recovery, and the correlation of different risk levels were analyzed. Results. After examination and diagnosis, the patients were followed up for one year. According to the number of bleeding cases, bleeding cycle, and bleeding volume of patients with different ulcer locations in the acute stage, healing stage, and scar stage, the distribution of bleeding cases of different ulcer locations in different stages was roughly the same, and there was no significant difference. The proportion of bleeding cases in the acute stage was the highest, while the proportion in the healing stage was the lowest. The number of bleeding cases, bleeding cycle, bleeding volume, and related symptoms in patients with gastric ulcers during the treatment were significantly correlated with those in the acute stage, healing stage, and scar stage. There was no significant difference in the distribution of bleeding in one year among different stages of ulcer in the same age group, however, the bleeding in one year would be more serious with the increase of age in different age groups. Gender differences have a great impact on the bleeding of the ulcer within one year. It usually shows that the bleeding of ulcers in males is more serious than that in females. Conclusion. The location and pathological development of gastric ulcers can be found in time through gastroscopy, and the status of gastroscopy can be analyzed. Most gastric ulcers are acute bleeding. The amount of bleeding has little correlation with the stage of gastric ulcer, and it is related to the location of bleeding. The older the age, the greater the amount of bleeding, and the amount of bleeding in men is greater than that in women. In the treatment of gastric ulcers, gastroscopy, as a doctor’s examination and treatment method, effectively improves the safety and reliability of clinical treatment of gastric ulcer bleeding and reduces the adverse risk.

Publisher

Hindawi Limited

Subject

Health Informatics,Biomedical Engineering,Surgery,Biotechnology

Reference14 articles.

1. Clinical efficacy of digestive endoscopy combined with quadruple therapy in the treatment of gastric ulcer bleeding;W. Xie;Chinese medical guidelines,2021

2. Analysis of influencing factors of rebleeding in elderly patients with gastric ulcer complicated with bleeding;P. Han;Chinese Journal for Clinicians,2021

3. Effect of esmeprazole combined with Kangfuxin Solution on the healing quality of gastric ulcer mucosa in patients with gastric ulcer bleeding;Q. Pan;Journal of aerospace medicine,2021

4. Analysis of endoscopic and pathological characteristics of 397 middle-aged people who reviewed gastroscopy;W. Yuan;Journal of Gastroenterology and Hepatology,2021

5. Efficacy of Xiangsha Yangwei pill combined with rabeprazole in the treatment of gastric ulcer and its effect on gastric mucosal TGF- β_ 1 expression;X. Wang;China prescription drug,2021

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