Evaluation of Emergency Endoscopic Interventions in Patients Presenting to the Emergency Department with Upper Gastrointestinal Bleeding: An Observational Study
Journal Title: Hippocrates Medical Journal - Year 2022, Vol 2, Issue 1
Abstract
Abstract Introduction Gastrointestinal system bleeding is usually an emergency clinical situation. Mortality in upper gastrointestinal system bleeding is between 5-12%. In this study, we aimed to examine systematically the endoscopic findings of patients followed up in the internal medicine service with upper gastrointestinal bleeding. Materials and Methods Patients who applied to the Bandırma Training and Research Hospital internal medicine service between January 2020 and November 2021 and were hospitalized due to upper gastrointestinal bleeding were included in the study. Age, gender, length of stay and endoscopy findings were evaluated. Results A total of 154 patients were included in the study. Patients with lower gastrointestinal tract and esophageal variceal bleeding were excluded from the study. Of the patients presenting with upper gastrointestinal bleeding, 28% were female and 72% were male. The mean age of the patients was 61.23+15.37 years. According to the Forrest endoscopic classification, in males, 5 patients (4.50%) were grade Ia, 15 patients (13.51%) were grade Ib, 13 patients (11.71%) were grade IIa, 9 patients (8.11%) were grade IIb, and 69 patients (62.16%) were stage III was detected in women, 3 patients (6.98%) stage Ia, 8 patients (18.60%) stage Ib, 4 patients (9.30%) stage IIb and 28 patients (65.12%) stage III. The mean hospital stay of these patients was 8.20±4.42 days. 30-day mortality was detected in 7 patients (4.54%). Conclusion Gastrointestinal bleeding still remains an important cause of mortality. Male gender and advanced age are important risk factors for gastrointestinal bleeding. In addition to these, the presence of comorbid disease; increases the length of treatment and hospitalization needs of patients.
Authors and Affiliations
Tamer AKAY, Erdem SARI, Alparslan Fedayi ÇALTA, Şirin Akın SARI, Serhat OĞUZ
Keywords
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- EP ID EP702904
- DOI https://doi.org/10.29228/HMJ.7
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