Acute upper gastrointestinal bleeding in operated stomach: Outcome of 105 cases

Table 1 Characteristics of patients recruited in the study

	Gastric surgeryin the past n = 105group A, n (%)	No surgeryin the past n = 608group B, n (%)	P
Age (yr)	68.1±11.7	62.8±17.8	0.001
Sex: men/women	Sep-96	470/138	0.0009
NSAIDs	41/105	398/608	<0.0001
Ht at admission (%)	27.9±6.5	26.9±7.8	NS
Gastric ulcers	0	141 (23.1)
Duodenal ulcers	9 (8.6)	215 (35.3)	0.00019
Marginal ulcers	63 (60)	0
Dieulafoy’s ulcers	1 (1)	4 (0.7)	NS
Varices	1 (1)	83 (13.7)
Mallory-Weiss	1 (1)	31 (5.1)
Esophagitis	1 (1)	8 (1.3)
Gastric cancer	3 (2.9)	18 (2.9)	NS
Erosions	1 (1)	46 (7.5)
None	22 (20.9)	42 (6.9)	0.0003
Other	1 (2)	5 (0.8)
Non-cooperative	1 (1)	15 (2.5)

Table 2 Endoscopic stigmata of the patients with bleeding peptic ulcers

	Patients with gastricsurgery in the pastand benign ulcersn = 73/105, n (%)	Patients withoutsurgery in the pastand benign ulcersn = 360/608, n (%)	P
Forrest Ia	10 (13.7)	30 (8.3)	NS
Forrest Ib	7 (9.6)	32 (8.8)	NS
Forrest IIa	18 (24.6)	63 (18.6)	NS
Forrest IIb	8 (11.0)	38 (10.5)	NS
Forrest IIc	3 (4.1)	41 (11.3)	NS
Forrest III	27 (36.9)	152 (42.2)	NS

Table 3 Outcome of patients recruited in the study

	Patients withsurgery in the pasttotal n = 105benign ulcersn = 73	Patients withoutsurgery in the pasttotal n = 608benign ulcersn = 360	P
Blood transfusions	3.3±4.0	1.5±1.7	0.0001
Hospital d	8.57±4	6.86±4.75	0.001
Re-bleeding	13/105	66/608	NS
Emergency surgery (overall), n (%)	9/105 (8.6)	23/608 (3.8)	0.028
Emergency surgery, n (%)	9/73 (12.3)	19/360 (5.3)	0.025
(peptic ulcers)
Duodenal ulcers	1	11
Gastric ulcers	–	7
Marginal ulcers	7	–
Dieulafoy’s ulcers	1		1
Mortality (overall), n (%)	4/105 (3.8)	19/608 (3.1)	NS
Post-surgical mortality, n (%)	2/9 (22.2)	6/23 (26)	NS