Epidemiology and Endoscopic Findings of the Patients Suffering from Upper Gastrointestinal System Bleeding
Abstract
Objective: In the present study, we aim to investigate general and endoscopic findings of the patients who were hospitalized in our clinic because of upper gastrointestinal system bleeding (UGSB).
Methods: The files of 403 patients who applied to our clinic between January 2014 and December 2014 with UGSB diagnosis were scanned retrospectively. The demographic, laboratorial and endoscopic findings of the patients were examined.
Results: The average age of 403 patients were 61.12±17.1 (min. 17- max. 96) and while 263 of these patients were male (65.3(%), 140 of them were female (34.7%). Of all, 234 patients had an additional disease. The most frequently observed diseases were hypertension, diabetes mellitus and coronary artery. 259 (64.3%) of the patients used to take at least one drug and 212 (52.6%) of the patients used to get non-steroid anti-inflammatory drugs and/or aspirin. The most common reasons of UGSB were duodenal ulcer in 158 patients (39.2%), stomach ulcer in 97 patients (24%), erosive gastroduodenitis in 66 patients (16.3%) and esophageal varices in 38 patients (9.4%). Unfortunately, 18 of the patients died.
Conclusion: The most common reason of UGSB is duodenal ulcer bleeding. In spite of the technological development nowadays, it is a disease which has mortality.
Key words: Upper gastrointestinal system bleeding, duodenal ulcer, gastric ulcer, variceal hemorrhage
References
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- Boonpongmanee S, Fleischer DE, Pezzula JC, Collier K. The frequency of peptic ulcer as a cause of upper-GI bleeding is exaggerated. Gastrointest Endosc 2004;59:788-794.
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- kanamalı 161 hastanın değerlendirilmesi. MN-Klinik Bilimler&Doktor 2003;9:675-680.
- Ünsal B, Altınay ZA, Kara B, ve ark. 1987-1991 yıllarında kliniğimizde yatan üst gastrointestinal sistem kanamaları ve bunların içinde ilaca bağlı olanların değerlendirilmesi. Turk J Gastroenterol 1993;4:460-462.
Year 2016,
Volume: 43 Issue: 1, 73 - 76, 01.03.2016
Abstract
References
- Szura M, Pasternak A. Upper non-variceal gastrointestinal bleeding review the effectiveness of endoscopic hemostasis methods. World J Gastrointest Endosc 2015;7:1088-1095.
- Boonpongmanee S, Fleischer DE, Pezzula JC, Collier K. The frequency of peptic ulcer as a cause of upper-GI bleeding is exaggerated. Gastrointest Endosc 2004;59:788-794.
- Paspatis GA, Matrella E, Kapsoritakis A, Leontithis C. An epidemiological study of acute upper gastrointestinal bleeding in Crete, Greece. Eur J Gastroenterol Hepatol 2000;12:1215- 1220.
- Zaltman C, Souza HS, Castro ME, Sobral F. Upper gastointestinal
- bleeding in a Brazilian hospital: a retrospective study of endoscopic records. Arq Gastroenterol 2002;39:74-80.
- Mino Fugarolas G, Jaramillo Esteban JL, Galvez Calderon C, et al. An analysis of a general prospective series of 3270 upper digestive hemorrhages. Rev Esp Enferm Dig 1992;82:7-15.
- Codina Cazador A, Codina Barreras A, Olivet Pujol F, et al. Descriptive analysis of 660 cases of upper digestive hemorrhage:
- relation of emergency endoscopy and mortality. Rev Esp Enferm Apar Dig 1989;75:665-670.
- Gölgeli H, Ecirli Ş, Kutlu O, et al. Evaluation of the patients that followed up for upper gastrointestinal system bleeding. Dicle Med J 2014;41:495-501.
- Arasaradnam RP, Donnelly MT. Acute endoscopic intervention in non-variceal upper gastrointestinalbleeding. Postgrad Med J 2005;81:92-98.
- Lee JG. What is the value of early endoscopy in upper gastrointestinal bleeding? Nat Clin Pract Gastroenterol Hepatol
- ;3:534-535.
- Bozatlı L, Yerdel MA, Karayalçın K, ve ark. 322 Üst gastrointestinal sistem kanama olgusunun retrospektif ve acil diyagnostik endoskopisi. Ulusal Cerrahi Derg 1991;7:15-20.
- Aksöz K, Ünsal B, Akyol Z, ve ark. Üst gastrointestinal sistem kanamalı 2568 hastanın değerlendirilmesi. Turk J Gastroenterol 1995;6:262-264.
- Günşar F, Akarca US, Yönetçi N, ve ark. Üst gastrointestinal
- sistem kanamalı 502 hastanın değerlendirilmesi. Turk J Gastroenterol 1997;8:188-193.
- Akarsu E, Okçu N, Ören D, ve ark. Kuzeydoğu Anadolu’da üst gastrointestinal sistem kanamalı olguların bir değerlendirmesi. MN-Klinik Bilimler&Doktor 2000;6:435-438.
- Laine L, Curtis SP, Cryer B, et al. Risk factors for NSAIDassociated
- upper GI clinical events in a long-term prospective study of 34 701 arthritis patients. Aliment Pharmacol Ther 2010;32:1240.
- Lanas A, Bajador E, Serrano P, et al. Nitrovasodilators, lowdose
- aspirin, other nonsteroidal anti-inflammatory drugs, and the risk for upper gastrointestinal bleeding. N Engl J Med 2000;343:834-839.
- Şimşek Z, Harzadın T, Yıldırım İS. Üst gastrointestinal sistem
- kanamalı 161 hastanın değerlendirilmesi. MN-Klinik Bilimler&Doktor 2003;9:675-680.
- Ünsal B, Altınay ZA, Kara B, ve ark. 1987-1991 yıllarında kliniğimizde yatan üst gastrointestinal sistem kanamaları ve bunların içinde ilaca bağlı olanların değerlendirilmesi. Turk J Gastroenterol 1993;4:460-462.
There are 24 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Articles |
| Authors | |
| Publication Date | March 1, 2016 |
| Submission Date | March 29, 2016 |
| Published in Issue | Year 2016 Volume: 43 Issue: 1 |
