Akut Üst Gastrointestinal Kanamalı Olgularımızın Endoskopik Sonuçları
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2010
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info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Akut üst gastrointestinal kanamalar (AÜGİK), hastaneye yatan hastalar arasında mortalite ve morbiditenin önemli nedenlerinden biridir. Çalışmamızda üst gastrointestinal kanama ile kliniğimize başvuran hastaların endoskopi sonuçlarını retrospektif inceleyerek sunmayı amaçladık. Gereç ve Yöntem: AÜGİK nedeniyle kliniğimize başvuran 110 vaka retrospektif olarak kanamanın yeri ve laboratuvar özellikleri incelendi. Bulgular: Üst gastrointestinal kanamalı 110 olgunun; %42,7si kadın, %57,2si erkek, yaş ortalaması 60,4 17,3 (yaş aralığı 18-85) idi. Hastaların %96sında ilk 24 saat içinde endoskopi yapıldı. En sık saptanan lezyonlar; eroziv gastrit (%33,5) ve duodenal ülser (%29,0) idi. Olguların 9unda (3 vakada argon plazma koagulasyon, 5 vakada 1/10 000 adrenalin ile skleroterapi, 1 vakada varis band ligasyonu) endoskopik tedavi uygulandı. Bir olgu endoskopi işlemi yapılamadan abondan kanama ile kaybedildi. Sonuç: Eroziv gastrit en sık AÜGİK nedeni olarak tespit edildi. Mortalite oranı %0,9 ile oldukça düşük olarak saptandı. Hızlı etkin tedavi, erken dönemde yapılan gastroskopik girişimler mortalite oranının azalmasında etkindir.
Background and Aims: Acute upper gastrointestinal bleeding (UGB) is one of the most important causes of mortality and morbidity in hospitalized patients. In this study we aimed to retrospectively analyze the gastrointestinal endoscopy results in patients that refer to our clinic with UGB. Materials and Methods: Patients with UGB admitted to our clinic were retrospectively evaluated for location of bleeding and the laboratory findings. Results: One hundred-ten patients with UGB; of the patients, 42.7% were female, 57.2% were male with average age 60.4± 17.3 (ranged between 18 and 85). Upper endoscopy performed in 96% of patients with in the first 24 hours of bleeding. The most frequently observed endoscopic lesions were erosive gastritis (33.5%) and duodenal ulcus (29.0%). Endoscopic treatment performed in 9 of the patients (in 3 patients argon plasma coagulation, in 5 patient scleroteraphy with 1/10000 adrenalin solution and in 1 patient varices band ligation). One patient death with abondan bleeding. Conclusions: Erosive gastritis has been found to be the most frequent cause of UGB. The mortality rate of 0.9% was very low. The fast, effective treatment and gastroscopic evaluation in the early period was important to reduce mortality rate.
Background and Aims: Acute upper gastrointestinal bleeding (UGB) is one of the most important causes of mortality and morbidity in hospitalized patients. In this study we aimed to retrospectively analyze the gastrointestinal endoscopy results in patients that refer to our clinic with UGB. Materials and Methods: Patients with UGB admitted to our clinic were retrospectively evaluated for location of bleeding and the laboratory findings. Results: One hundred-ten patients with UGB; of the patients, 42.7% were female, 57.2% were male with average age 60.4± 17.3 (ranged between 18 and 85). Upper endoscopy performed in 96% of patients with in the first 24 hours of bleeding. The most frequently observed endoscopic lesions were erosive gastritis (33.5%) and duodenal ulcus (29.0%). Endoscopic treatment performed in 9 of the patients (in 3 patients argon plasma coagulation, in 5 patient scleroteraphy with 1/10000 adrenalin solution and in 1 patient varices band ligation). One patient death with abondan bleeding. Conclusions: Erosive gastritis has been found to be the most frequent cause of UGB. The mortality rate of 0.9% was very low. The fast, effective treatment and gastroscopic evaluation in the early period was important to reduce mortality rate.
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