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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제18권 제1호
- 발행연도
- 2015.1
- 수록면
- 30 - 38 (9page)
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Purpose: The aims of our study were to evaluate the blood urea nitrogen to creatinine ratio (BUN/Cr ratio) for dis-tinguishing between an upper and lower gastrointestinal bleeding (GIB), and differentiating between the two most common causes of upper gastrointestinal bleeding (UGIB) presenting with melena in children.Methods: Retrospective data of patients with GIB presenting with melena were analyzed. The data from 60 cases were reviewed including demographics, laboratory findings, diagnostic modalities and results, treatments, and transfusions.Results: Among the 60 cases, UGIB and lower gastrointestinal bleeding (LGIB) were found in 35 cases (58.3%) and 14 cases (23.3%), respectively. The two common causes of UGIB were varices (37.1%), and peptic ulcer dis-eases (PUD) (31.4%). The BUN/Cr ratio of 30 or greater was higher in UGIB than LGIB (odds ratio [OR], 6.9; 95% confidence interval [95% CI], 1.3-37.2). In UGIB, the BUN/Cr ratio of the varices group was higher than that of the PUD group (p=0.015). The OR for the BUN/Cr ratio appeared as 1.2 per unit increase in the varices group than the PUD group (95% CI, 1.03-1.3). There was no difference between the PUD group and Meckel’s diverticulum group.Conclusion: The BUN/Cr ratio was not uneven in differentiating UGIB from LGIB of children with melena in our study. This suggests that BUN/Cr ratio should be interpreted carefully.
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참고문헌 (20)
참고문헌 신청
Boyle JT / 2008 / Gastrointestinal bleeding in infants and children / Pediatr Rev 29 : 39 ~ 52
Carvalho ED / 2000 / Gastrointestinal bleeding / J Pediatr (Rio J) 76 (Suppl 1) : S135 ~ 146
Cleveland K / 2012 / Upper gastrointestinal bleeding in children: an 11-year retrospective endoscopic investigation / World J Pediatr 8 : 123 ~ 128
Ernst AA / 1999 / Usefulness of the blood urea nitrogen/creatinine ratio in gastrointestinal bleeding / Am J Emerg Med 17 : 70 ~ 72
Felber S / 1988 / The BUN/creatinine ratio in localizing gastrointestinal bleeding in pediatric patients / J Pediatr Gastroenterol Nutr 7 : 685 ~ 687
Carvalho ED / 2000 / Gastrointestinal bleeding / J Pediatr (Rio J) 76 (Suppl 1) : S135 ~ 146
Cleveland K / 2012 / Upper gastrointestinal bleeding in children: an 11-year retrospective endoscopic investigation / World J Pediatr 8 : 123 ~ 128
Ernst AA / 1999 / Usefulness of the blood urea nitrogen/creatinine ratio in gastrointestinal bleeding / Am J Emerg Med 17 : 70 ~ 72
Felber S / 1988 / The BUN/creatinine ratio in localizing gastrointestinal bleeding in pediatric patients / J Pediatr Gastroenterol Nutr 7 : 685 ~ 687
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