Akut üst gastrointestinal sistem kanamaları: 230 olgunun analizi

• DOI: 10.17941/agd.20302
• Publication Date: 2007-04-01
• Authors: Sadi Kerem Okutur; Canan Alkım; Cemal Beş; Didem Gürbüz; Özlem Kinik; Emine Gültürk; Emrah Erkan Mazı; Fatih Borlu
• Keywords: Upper Gastrointestinal Bleeding; Gastrointestinal bleeding

Acute upper gastrointestinal bleeding is one of the most important causes mortality and morbidity in hospitalized patients. 2-10% patients with who are admitted to emergency department die despite major developments diagnosis treatment methods. In this study, were our clinic assessed for their clinical laboratory features, risk factors endoscopy findings association literature. Materials methods: The between June 2002 January 2005 examined retrospectively. Results: Among 230 recruited study group, 71.3% cases male. mean age group was 52.4 ± 19.4. Ninety-one had at least accompanying disease, hypertension (46.2%) diabetes mellitus (22%) common. commonly used drugs NSAIDs (96.8%). Aspirin (69.7%) naproxen (18.0%) use found be more frequent. Upper system performed 163 24 received endoscopic therapy. Rebleeding seen 10% frequently observed lesions erosive gastritis (56.4%) duodenal ulcus (47.2%). Two hundred thirteen (92.6%) discharged medical treatment, 2 (0.9%) required surgery, 13 (5.7%) died. Of died, 9 over 60 additional comorbidities 10 hematemesis time admission. Conclusions: History NSAID common bleeding. elderly associated presence variceal bleeding, it carries a high rate. Especially patients, increased should taken into consideration when prescribing NSAIDs. Additionally, gastroprotective given. rebleeding, applied immediately early procedure considered whenever possible.