Upper endoscopy for occult bleeding in renal failure

Sanjeev Gupta, D. L. Walker, A. Keshavarzian, H. J F Hodgson

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We studied 41 patients with renal failure prospectively to assess the value of upper gastrointestinal endoscopy in detecting occult bleeding after an abrupt fall in hemoglobin (Hb) level. Thirty-four patients were on maintenance dialysis, six on plasma exchange, and one on dialysis and plasma exchange. At gastroscopy two patients (4.9%) had bleeding lesions, five patients (12%) peptic ulcers without bleeding, and 18 patients (44%) mild esophagitis, gastritis, or duodenitis. Although mucosal abnormalities in the upper gastrointestinal tract were common, clinically inapparent gastrointestinal bleeding was only rarely responsible for sudden changes of Hb in these patients.

Original languageEnglish (US)
Pages (from-to)43-45
Number of pages3
JournalJournal of Clinical Gastroenterology
Volume9
Issue number1
StatePublished - 1987
Externally publishedYes

Fingerprint

Endoscopy
Renal Insufficiency
Hemorrhage
Plasma Exchange
Dialysis
Hemoglobins
Duodenitis
Gastroscopy
Upper Gastrointestinal Tract
Gastrointestinal Endoscopy
Esophagitis
Gastritis
Peptic Ulcer
Maintenance

Keywords

  • Chronic renal failure
  • Gastrointestinal bleeding
  • Hemodialysis
  • Plasma exchange
  • Upper gastrointestinal endoscopy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Gupta, S., Walker, D. L., Keshavarzian, A., & Hodgson, H. J. F. (1987). Upper endoscopy for occult bleeding in renal failure. Journal of Clinical Gastroenterology, 9(1), 43-45.

Upper endoscopy for occult bleeding in renal failure. / Gupta, Sanjeev; Walker, D. L.; Keshavarzian, A.; Hodgson, H. J F.

In: Journal of Clinical Gastroenterology, Vol. 9, No. 1, 1987, p. 43-45.

Research output: Contribution to journalArticle

Gupta, S, Walker, DL, Keshavarzian, A & Hodgson, HJF 1987, 'Upper endoscopy for occult bleeding in renal failure', Journal of Clinical Gastroenterology, vol. 9, no. 1, pp. 43-45.
Gupta, Sanjeev ; Walker, D. L. ; Keshavarzian, A. ; Hodgson, H. J F. / Upper endoscopy for occult bleeding in renal failure. In: Journal of Clinical Gastroenterology. 1987 ; Vol. 9, No. 1. pp. 43-45.
@article{31567b212a3e4b4fb92a1556c4fa064f,
title = "Upper endoscopy for occult bleeding in renal failure",
abstract = "We studied 41 patients with renal failure prospectively to assess the value of upper gastrointestinal endoscopy in detecting occult bleeding after an abrupt fall in hemoglobin (Hb) level. Thirty-four patients were on maintenance dialysis, six on plasma exchange, and one on dialysis and plasma exchange. At gastroscopy two patients (4.9{\%}) had bleeding lesions, five patients (12{\%}) peptic ulcers without bleeding, and 18 patients (44{\%}) mild esophagitis, gastritis, or duodenitis. Although mucosal abnormalities in the upper gastrointestinal tract were common, clinically inapparent gastrointestinal bleeding was only rarely responsible for sudden changes of Hb in these patients.",
keywords = "Chronic renal failure, Gastrointestinal bleeding, Hemodialysis, Plasma exchange, Upper gastrointestinal endoscopy",
author = "Sanjeev Gupta and Walker, {D. L.} and A. Keshavarzian and Hodgson, {H. J F}",
year = "1987",
language = "English (US)",
volume = "9",
pages = "43--45",
journal = "Journal of Clinical Gastroenterology",
issn = "0192-0790",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Upper endoscopy for occult bleeding in renal failure

AU - Gupta, Sanjeev

AU - Walker, D. L.

AU - Keshavarzian, A.

AU - Hodgson, H. J F

PY - 1987

Y1 - 1987

N2 - We studied 41 patients with renal failure prospectively to assess the value of upper gastrointestinal endoscopy in detecting occult bleeding after an abrupt fall in hemoglobin (Hb) level. Thirty-four patients were on maintenance dialysis, six on plasma exchange, and one on dialysis and plasma exchange. At gastroscopy two patients (4.9%) had bleeding lesions, five patients (12%) peptic ulcers without bleeding, and 18 patients (44%) mild esophagitis, gastritis, or duodenitis. Although mucosal abnormalities in the upper gastrointestinal tract were common, clinically inapparent gastrointestinal bleeding was only rarely responsible for sudden changes of Hb in these patients.

AB - We studied 41 patients with renal failure prospectively to assess the value of upper gastrointestinal endoscopy in detecting occult bleeding after an abrupt fall in hemoglobin (Hb) level. Thirty-four patients were on maintenance dialysis, six on plasma exchange, and one on dialysis and plasma exchange. At gastroscopy two patients (4.9%) had bleeding lesions, five patients (12%) peptic ulcers without bleeding, and 18 patients (44%) mild esophagitis, gastritis, or duodenitis. Although mucosal abnormalities in the upper gastrointestinal tract were common, clinically inapparent gastrointestinal bleeding was only rarely responsible for sudden changes of Hb in these patients.

KW - Chronic renal failure

KW - Gastrointestinal bleeding

KW - Hemodialysis

KW - Plasma exchange

KW - Upper gastrointestinal endoscopy

UR - http://www.scopus.com/inward/record.url?scp=0023094156&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023094156&partnerID=8YFLogxK

M3 - Article

C2 - 3559112

AN - SCOPUS:0023094156

VL - 9

SP - 43

EP - 45

JO - Journal of Clinical Gastroenterology

JF - Journal of Clinical Gastroenterology

SN - 0192-0790

IS - 1

ER -