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Üst Gastrointestinal Sistem Kanaması Nedeniyle Takip Edilen Hastaların Geriye Dönük İncelenmesi

Year 2015, Volume: 5 Issue: 3, 130 - 134, 11.12.2015

Serdar Olt İhsan Uslan Ahmet Tarık Eminler Ali Tamer Emine Akçay Atilla Baştemir Selçuk Yaylacı Hasan Ergenç

Abstract

Bu çalışmada Gastroenteroloji Kliniğimizde 2010-2012 tarihleri arasında üst gastrointestinal sistem kanaması nedeniyle takip ettiğimiz 198 hastanın demografik, klinik ve laboratuar verileri retrospektif olarak analiz edildi. Endoskopik olarak en sık rastlanan lezyonlar sırasıyla %31,8 duodenal ülser, %29,2 gastrit, %12,6 gastrik ülser, %6,1 mide Ca, % 5,1 özefagial varis, %4 anastomoz hattında ülser, %3 angiodisplazi, %2,5 Mallory-Weiss sendromu ve %2 bulbit olarak saptandı. Hastaların 7’si (%3,5) exitus oldu. Exitus olan hastaların 1’ine endoskopi yapılamadı, 2’sinde endoskopik lezyon saptanmadı, 2’sinde duodenal ülser, 1’inde mide Ca, 1’inde özefagial varis saptandı. Hastaların sadece 1’ine acil cerrahi girişim yapıldı. 198 hastanın 19’una endoskopik adrenalin enjeksiyon skleroterapisi, 5’ine endoskopik band ligasyonu ve 2’sine endoskopik argon koagülasyon tedavisi uygulandı. Yatış süresini etkileyen faktörler lökosit, üre, eritrosit süspansiyonu transfüzyon ünite sayısı ve TDP transfüzyon ünite sayısı olarak tespit edildi..

Keywords

Üst gastrointestinal sistem kanama mortalite epidemiyoloji

References

  • Jairath V, Martel M, Logan RF, Barkun AN. Why do mortality rates for nonvariceal upper gastrointestinal bleeding differ around the world? A systematic review of cohort studies. Can J Gastroenterol. 2012 Aug;26(8):537-43.
  • Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis. N Engl J Med. 2010 Mar 4;362(9):823-32. doi: 10.1056/NEJMra0901512.
  • Botianu A, Matei D, Tantau M, Acalovschi M. Mortality and need of surgical treatment in acute upper gastrointestinal bleeding: a one year study in a tertiary center with a 24 hours / day-7 days / week endoscopy call. Has anything changed? Chirurgia (Bucur). 2013 May-Jun;108(3):312-8.
  • Hreinsson JP, Kalaitzakis E, Gudmundsson S, Björnsson ES. Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting. Scand J Gastroenterol. 2013 Apr;48(4):439-47. doi: 10.3109/00365521.2012.763174. Epub 2013 Jan 29.
  • Lanas A, García-Rodríguez LA, Polo-Tomás M, Ponce M, Alonso-Abreu I, Perez-Aisa MA, Perez-Gisbert J, Bujanda L, Castro M, Muñoz M, Rodrigo L, Calvet X, Del-Pino D, Garcia S. Time trends and impact of upper and lower gastrointestinal bleeding and perforation in clinical practice. Am J Gastroenterol. 2009 Jul;104(7):1633-41. doi: 10.1038/ajg.2009.164. Epub 2009 May 5.
  • Brooks J, Warburton R, Beales IL. Prevention of upper gastrointestinal haemorrhage: current controversies and clinical guidance. Ther Adv Chronic Dis. 2013 Sep;4(5):20622. doi: 10.1177/2040622313492188.
  • Hreinsson JP, Kalaitzakis E, Gudmundsson S, Björnsson ES. Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting. Scand J Gastroenterol. 2013 Apr;48(4):439-47. doi: 10.3109/00365521.2012.763174. Epub 2013 Jan 29.
  • van Leerdam ME. Epidemiology of acute upper gastrointestinal bleeding. Best Pract Res Clin Gastroenterol. 2008;22(2):209-24. doi: 10.1016/j.bpg.2007.10.011.
  • Rockall TA, Logan RF, Devlin HB, Northfield TC. Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. Comment in BMJ. 1995 Sep 30;311(7009):874.
  • Vargas E(1), Cabrera L, Morón A, García M, Soto J, Guadarrama I. Assessment of hospital costs related to the diagnosis and treatment of upper gastrointestinal haemorrhages in patients consuming non steroid anti-inflammatory drugs. Rev Esp Enferm Dig. 2001 Jun;93(6):390-7

Year 2015, Volume: 5 Issue: 3, 130 - 134, 11.12.2015

Serdar Olt İhsan Uslan Ahmet Tarık Eminler Ali Tamer Emine Akçay Atilla Baştemir Selçuk Yaylacı Hasan Ergenç

Abstract

References

  • Jairath V, Martel M, Logan RF, Barkun AN. Why do mortality rates for nonvariceal upper gastrointestinal bleeding differ around the world? A systematic review of cohort studies. Can J Gastroenterol. 2012 Aug;26(8):537-43.
  • Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis. N Engl J Med. 2010 Mar 4;362(9):823-32. doi: 10.1056/NEJMra0901512.
  • Botianu A, Matei D, Tantau M, Acalovschi M. Mortality and need of surgical treatment in acute upper gastrointestinal bleeding: a one year study in a tertiary center with a 24 hours / day-7 days / week endoscopy call. Has anything changed? Chirurgia (Bucur). 2013 May-Jun;108(3):312-8.
  • Hreinsson JP, Kalaitzakis E, Gudmundsson S, Björnsson ES. Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting. Scand J Gastroenterol. 2013 Apr;48(4):439-47. doi: 10.3109/00365521.2012.763174. Epub 2013 Jan 29.
  • Lanas A, García-Rodríguez LA, Polo-Tomás M, Ponce M, Alonso-Abreu I, Perez-Aisa MA, Perez-Gisbert J, Bujanda L, Castro M, Muñoz M, Rodrigo L, Calvet X, Del-Pino D, Garcia S. Time trends and impact of upper and lower gastrointestinal bleeding and perforation in clinical practice. Am J Gastroenterol. 2009 Jul;104(7):1633-41. doi: 10.1038/ajg.2009.164. Epub 2009 May 5.
  • Brooks J, Warburton R, Beales IL. Prevention of upper gastrointestinal haemorrhage: current controversies and clinical guidance. Ther Adv Chronic Dis. 2013 Sep;4(5):20622. doi: 10.1177/2040622313492188.
  • Hreinsson JP, Kalaitzakis E, Gudmundsson S, Björnsson ES. Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting. Scand J Gastroenterol. 2013 Apr;48(4):439-47. doi: 10.3109/00365521.2012.763174. Epub 2013 Jan 29.
  • van Leerdam ME. Epidemiology of acute upper gastrointestinal bleeding. Best Pract Res Clin Gastroenterol. 2008;22(2):209-24. doi: 10.1016/j.bpg.2007.10.011.
  • Rockall TA, Logan RF, Devlin HB, Northfield TC. Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. Comment in BMJ. 1995 Sep 30;311(7009):874.
  • Vargas E(1), Cabrera L, Morón A, García M, Soto J, Guadarrama I. Assessment of hospital costs related to the diagnosis and treatment of upper gastrointestinal haemorrhages in patients consuming non steroid anti-inflammatory drugs. Rev Esp Enferm Dig. 2001 Jun;93(6):390-7
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Serdar Olt

İhsan Uslan This is me

Ahmet Tarık Eminler This is me

Ali Tamer This is me

Emine Akçay This is me

Atilla Baştemir

Selçuk Yaylacı This is me

Hasan Ergenç This is me

Publication Date December 11, 2015
Submission Date December 6, 2015
Published in Issue Year 2015 Volume: 5 Issue: 3

Cite

AMA Olt S, Uslan İ, Eminler AT, Tamer A, Akçay E, Baştemir A, Yaylacı S, Ergenç H. Üst Gastrointestinal Sistem Kanaması Nedeniyle Takip Edilen Hastaların Geriye Dönük İncelenmesi. Sakarya Tıp Dergisi. December 2015;5(3):130-134.
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