Korean J Gastrointest Endosc > Volume 32(6); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(6): 374-380.
만성 신부전 환자에서 발생한 위장관 출혈의 임상적 특징
가톨릭대학교 의과대학 내과학교실
Clinical Features of Gastrointestinal Bleeding in Patients with Chronic Renal Failure
Hyung Keun Kim, M.D., Young-Soo Kim, M.D., Young Seok Cho, M.D., Jeong-Seon Ji, M.D., Sung Soo Kim, M.D., Young Ok Kim, M.D., Sun-Ae Yun, M.D., Hiun Suk Chae, M.D., Kyu Yong Choi, M.D. and In Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea

Gastrointestinal bleeding (GIB) in patients with chronic renal failure (CRF) is a common complication with a high mortality. However, the cause or mechanism of this condition is unclear. Therefore, this study investigated the clinical features of GIB in patients with CRF.
The clinical features of 35 patients with CRF who were admitted to the Uijeongbu St. Mary's Hospital for GIB from January 1998 to August 2003 were examined retrospectively.
Thirty-five out of 803 patients had CRF (4.4%). The mean age of those with CRF was 62⁑11 years and 16 patients were male. The treatment for CRF was hemodialysis in 22 (62.9%), pre-dialysis in 10 (28.6%) and peritoneal dialysis in 3 (8.6%). The cause of GIB in CRF patients was an ulcer (45.7%), vascular disease (37.1%), hemorrhagic gastritis (8.6%), and Mallory-Weiss laceration (2.9%), etc. Rebleeding after the first treatment occurred in 5 patients (14.3%). Three of these patients (60%) had vascular disease. Surgical treatment for rebleeding was performed in 3 patients (60%) and the mortality rate in rebleeding patients was 60%.
The most common cause of GIB in CRF patients is an ulcer followed by vascular disease. Vascular disease in cases with rebleeding is high with a high mortality rate. (Korean J Gastrointest Endosc 2006;32:374⁣380)
Key Words: Chronic renal failure, Gastrointestinal bleeding, Vascular disease
주요어: 만성 신부전, 위장관 출혈, 혈관 질환
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Related articles
Clinical meaning of sarcopenia in patients undergoing endoscopic treatment  
Clinical outcomes of nonvariceal upper gastrointestinal bleeding in nonagenarians and octogenarians: a comparative nationwide analysis  
Clinical Practice of Gastrointestinal Endoscopy in COVID-19 Patients: An Experience from Indonesia  2022 January;55(1)
Acute Gastrointestinal Bleeding in COVID-19 Patients: A Systematic Review and Meta-Analysis  2021 July;54(4)
Gastrointestinal Bleeding Of Unknown Origin In Patients With Splenic Aneurysm  2021 March;54(2)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer