Summary
The endoscopic finding of a visible vessel in the base of a bleeding gastrointestinal
lesion is a well-known indicator of the possibility of recurrent hemorrhage. We carried
out a multivariate analysis of 277 patients with gastrointestinal hemorrhage, but
no chronic liver disease, of the clinical history and parameters in relation to hemorrhage,
in order to select patients at risk for this endoscopic picture.
A clinical history of associated disease, the absence of ulcerogenic drug intake,
presentation of bleeding in the form of hematemesis and active hemorrhage on admission
had predictive value for visible vessel, The incidence of visible vessel was significantly
greater in anastomotic stoma ulcers than in gastric and duodenal sulcers. On the basis
of the clinical parameters mentioned, patients with a high probability of having a
bleeding lesion with a visible vessel can be selected for priority endoscopy.
Key words:
UGI bleeding - Peptic ulcer - Visible vessel
