Riassunto
Il valore diagnostico dell’endoscopia precoce nelle emorragie digestive (eseguita nelle prime 72 ore di sanguinamento) viene confermato dagli AA. sulla base di una esperienza quasi biennale presso il Servizio di Gastroenterologia dell ’Ospedale Maggiore di Trieste. Dallo studio critico delle osservazioni compiute e dalla analisi statistica emergono alcuni dati degni di rilievo, quali l’innocuità del metodo diagnostico, la relativamente scarsa incidenza di esami endoscopici negativi, l’alta frequenza di lesioni ulcero-erosive superficiali acute nel determinismo di emorragie digestive, l’immediata possibilità di individuare tra più lesioni emorragipare coesistenti quella responsabile dell’emorragia in atto.
Resume
La valeur diagnostique de l’endoscopie précoce dans les hémorragies digestives (effectuée pendant les premières 72 heures du saignement), est confirmée par les auteurs en s’appuyant sur une expérience biennale auprès du Service de Gastroentérologie de l’Hôpital Maggiore de Trieste.
De l’examen critique des observations effectuées et de l’analyse statistique, sortent quelques conclusions à notre avis importantes, c’est-à-dire: l’innocuïté de la méthode diagnostique, l’incidence relativement basse des examens endoscopiques négatifs, la fréquence très haute des lésions ulcéro-érosives superficielles aiguës dans le déterminisme des hémorragies digestives, la possibilité immédiate de distinguer entre plusieurs lésions coexistentes potentiellement hémorragiques celle responsable de l’hémorragie présente.
Summary
The authors emphasize the diagnostic value of early endoscopy (performed within 72 hours from bleeding) in acute gastrointestinal hemorrhages, on the basis of a two years experience in the “Servizio di Gastroenterologia Ospedale Maggiore di Trieste”.
A critical and statistical evaluation of their observations points some important data: lack of risk of this diagnostic mean; the low incidence of negative endoscopic examinations; the high frequency of acute superficial ulcerous and erosive lesions causing gastrointestinal hemorrhages; the possibility to recognize easily, among coexisting potentially hemorrhagic lesions, the actually bleeding one.
Bibliografia
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Visintini, E., Belsasso, E. La diagnosi endoscopica précoce di ulcere superficiali di tipo acuto e di erosioni dell mucosa, esofago, gastro, duodenale in corso di emorragia. Acta Endosc 3, 107–109 (1973). https://doi.org/10.1007/BF02986151
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DOI: https://doi.org/10.1007/BF02986151