Rebleeding Risk of Acute Hemorrhagic Rectal Ulcer: A Multicenter Retrospective Study
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- Muramatsu Takahiro
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Fukuzawa Masakatsu
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Madarame Akira
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Kagawa Yasuyuki
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Kikuchi Miho
- Department of Gastroenterology, Tokyo Medical University Hachioji Medical Center, Japan
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- Taniguchi Sho
- Department of Gastroenterology, Todachuo General Hospital, Japan
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- Shimai Satoshi
- Department of Gastroenterology, Todachuo General Hospital, Japan
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- Matsumoto Sho
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Yamanishi Fumito
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Suzuki Yuka
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Nemoto Daiki
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Shinohara Hirokazu
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Matsumoto Taisuke
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Koyama Yohei
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Uchida Kumiko
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Yamaguchi Hayato
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Morise Takashi
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Sugimoto Akihiko
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Yamauchi Yoshiya
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Kono Shin
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Naito Sakiko
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
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- Nakamura Hironori
- Department of Gastroenterology, Tokyo Medical University Hachioji Medical Center, Japan
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- Nutahara Daisuke
- Department of Gastroenterology, Tokyo Medical University Hachioji Medical Center, Japan
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- Matsue Yuubu
- Department of Gastroenterology, Tokyo Medical University Hachioji Medical Center, Japan
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- Kishimoto Yoshiko
- Department of Gastroenterology, Todachuo General Hospital, Japan
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- Yamamoto Kei
- Department of Gastroenterology, Todachuo General Hospital, Japan
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- Kawai Takashi
- Endoscopy Center, Tokyo Medical University Hospital, Japan
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- Itoi Takao
- Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan
抄録
<p>Objective Acute hemorrhagic rectal ulcer (AHRU) is characterized by sudden, painless, and massive bleeding from rectal ulcers. To date, few studies have analyzed the risk factors for AHRU rebleeding. In this study, we clarified the risk factors of rebleeding after initial hemostasis of AHRU through a multicenter study. Methods A total of 149 patients diagnosed with AHRU between January 2015 and May 2020 at 3 medical centers were enrolled. We retrospectively investigated the following factors: age, sex, body mass index (BMI), performance status (PS), Charlson comorbidity index (CCI), comorbidities, medications, laboratory examinations, endoscopic findings, view of the entire rectum on endoscopy, hemostasis method, blood transfusion history, shock, instructions for posture change after initial hemostasis, and clinical course. Results Rebleeding was observed in 35 (23%) of 149 patients. A multivariate analysis showed that significant factors for rebleeding were PS 4 [odds ratio (OR), 5.23; 95% confidence interval (CI)], 1.97-13.9; p=0.001], a blood transfusion history (OR, 3.66; 95% CI, 1.41-9.51; p=0.008), low an estimated glomerular filtration rate (eGFR) levels (OR, 0.98; 95% CI, 0.97-0.99; p=0.001), poor view of the whole rectum on endoscopy (OR, 0.33; 95% CI, 0.12-0.90; p=0.030), and use of monopolar hemostatic forceps (OR, 4.89; 95% CI, 1.37-17.4; p=0.014). Conclusion Factors associated with rebleeding of AHRU were a poor PS (PS4), blood transfusion, a low eGFR, poor view of the whole rectum on endoscopy, and the use of monopolar hemostatic forceps. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine advpub (0), 2024
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390862080002505344
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- ISSN
- 13497235
- 09182918
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
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- 抄録ライセンスフラグ
- 使用不可