Identifying patients at high risk of colonic diverticular haemorrhage

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00066286" target="_blank" >RIV/00159816:_____/16:00066286 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/16:00093350

Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Identifying patients at high risk of colonic diverticular haemorrhage

Popis výsledku v původním jazyce

Aim of the study: Diverticular hemorrhage is a common cause of lower gastrointestinal bleeding, but studies about risk factors for colonic diverticular hemorrhage are limited, most of them are dedicated to Asian population. Our aim was to identify risk factors for diverticular bleeding in westernized population. Material and Methods: This is a retrospective study. There were included 333 consecutive patients, treated for symptomatic diverticular disease between January 2000 and December 2011. Seventy-four (22 %) had signs of diverticular bleeding. The influence of comorbidities (overweight, hypertension, ischemic cardiac disease, atrial fibrillation, renal failure, gastroduodenal disease), nicotine abuse and medication (anticoagulant drugs, aspirin) was evaluated. To determine the risk factors for colonic diverticular bleeding statistical analysis were performed using Mann-Whitney U test and Fisher's exact test. Results: There was no difference between patients with diverticular hemorrhage and those with non bleeding symptomatic diverticulosis regarding gender ratio. Bleeding patients were older (p<0,00001). Hypertension (p= 0,00001), ischemic heart disease (p=0,04), gastroduodenal disease (p<0,00001) and use of aspirin(p=0,007) were significant risk factors for diverticular bleeding. Conclusions: Age, hypertension, ischemic heart disease, gastroduodenal disease and use of aspirin increase significantly the risk of diverticular hemorrhage. (C) 2016, Surgical Society of Northern Greece. All rights reserved.

Název v anglickém jazyce

Identifying patients at high risk of colonic diverticular haemorrhage

Popis výsledku anglicky

Aim of the study: Diverticular hemorrhage is a common cause of lower gastrointestinal bleeding, but studies about risk factors for colonic diverticular hemorrhage are limited, most of them are dedicated to Asian population. Our aim was to identify risk factors for diverticular bleeding in westernized population. Material and Methods: This is a retrospective study. There were included 333 consecutive patients, treated for symptomatic diverticular disease between January 2000 and December 2011. Seventy-four (22 %) had signs of diverticular bleeding. The influence of comorbidities (overweight, hypertension, ischemic cardiac disease, atrial fibrillation, renal failure, gastroduodenal disease), nicotine abuse and medication (anticoagulant drugs, aspirin) was evaluated. To determine the risk factors for colonic diverticular bleeding statistical analysis were performed using Mann-Whitney U test and Fisher's exact test. Results: There was no difference between patients with diverticular hemorrhage and those with non bleeding symptomatic diverticulosis regarding gender ratio. Bleeding patients were older (p<0,00001). Hypertension (p= 0,00001), ischemic heart disease (p=0,04), gastroduodenal disease (p<0,00001) and use of aspirin(p=0,007) were significant risk factors for diverticular bleeding. Conclusions: Age, hypertension, ischemic heart disease, gastroduodenal disease and use of aspirin increase significantly the risk of diverticular hemorrhage. (C) 2016, Surgical Society of Northern Greece. All rights reserved.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FJ - Chirurgie včetně transplantologie

OECD FORD obor

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Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2016

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Surgical Chronicles

ISSN

1108-5002

e-ISSN

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Svazek periodika

21

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

GR - Řecká republika

Počet stran výsledku

4

Strana od-do

68-71

Kód UT WoS článku

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EID výsledku v databázi Scopus

2-s2.0-84986301928