TY - JOUR T1 - Çocuk Acil Kliniğine Gelen Gastrointestinal Kanamalı 47 Olgunun Retrospektif Değerlendirilmesi TT - Retrospective Evaluation Of 47 Patients With Gastrointestinal Bleeding In Pediatric Emergency Clinic AU - Türe, Esra AU - Yazar, Abdullah AU - Akın, Fatih PY - 2018 DA - January DO - 10.31832/smj.359943 JF - Sakarya Medical Journal PB - Sakarya University WT - DergiPark SN - 2146-409X SP - 197 EP - 204 VL - 7 IS - 4 LA - tr AB - Amaç: Gastrointestinal sistem kanaması çocuklukçağında her yaşta karşımıza çıkabilen ve ağızdan anüse kadar her yerindegörülebilen önemli bir çocuk acil sorunudur. Bu çalışmada çocuk acilkliniğimize gastrointestinal kanama ile başvuran hastaların epidemiyolojik velaboratuvar özelliklerini ve kanamanın etiyolojik nedenlerini araştırmayıamaçladık.Gereç ve Yöntem: Çocuk Acil kliniğinebaşvuran, gastrointestinal kanama tanısı almış 18 yaş altı hastaların,kayıtları ve yatış dosyaları retrospektif olarak incelendi. Hastaların yaş,cinsiyet, geliş yakınmaları, kullandığı ilaçlar, laboratuvar bulguları,aldıkları tanılar, tedavi yöntemleri, endoskopi ve kolonoskopi bulgularıincelendi. Bulgular: Çocuk acil kliniğine son bir yılda başvuranhastaların 47’si gastrointestinal kanama tanısı aldı. Bunların 24’ü (%51,1)üst, 23’ü (%48,9) alt gastrointestinal kanama idi. Hastaların %40,4’ünde (n:19) hematemez, %14,9’unda (n: 7) melena ve %44,7’sinde (n:21) hematokezyatespit edildi. Melena ile başvuranların istatistiksel anlamlı olarak (p:0,02)en fazla 5 yaş altında (n:4, %57,1) olduğu görüldü. Hastaların 20’sinde (%42,6)ilaç kullanım hikayesi mevcuttu. İlaç kullanım hikayesi olan 20 hastanın 18’nin(%90) istatistiksel anlamlı olarak non-steroid anti-inflamatuar ilaç kullandığıtespit edildi. Helicobacter pylori pozitif tespit edilen 12 hastanın 6’sı (%50)istatistiksel anlamlı olarak gastrit tanısı aldı. Helicobacter pylori pozitiftespit edilen 12 hastanın 6’sının (%50) istatistiksel anlamlı olarak hematemezile başvurduğu görüldü. Sonuç: Bu çalışmada gastrit ve peptik ülseringastrointestinal kanamanın en sık nedenleri olduğu görüldü. Gastrointestinalkanamaları risk faktörlerine göre değerlendirildiği zaman non-steroidanti-inflamatuar kullanımı ve Helicobacter pylori enfeksiyonunun mukozallezyonlar ile ilişkisi ortaya koyuldu. Bu nedenle hastaların çocuk acilkliniklerinde özenle değerlendirilip yakın izleme alınması aynı zamanda hastayakınlarının akılcı ilaç kullanımı konusunda bilgilendirilmesi gerekmektedir. KW - Gastrointestinal sistem; kanama; çocuk acil N2 - Objective:Gastrointestinal bleeding (GB) is an important emergency problem that can beseen at any age and every part of gastrointestinal system from mouth to anus.In this study, we aimed to investigate demographic, epidemiologic, clinical andlaboratory characteristics of patients with GB who admitted to emergencydepartment.Material and Method: Therecords of patients <18 years who admitted to pediatric emergency departmentwith GB were reviewed retrospectively. The age, gender, complaints, drughistory, laboratory findings, diagnoses, treatment modalities, endoscopy andcolonoscopy findings were recorded.Results: 47were found to be folllowed up with the diagnosis of GB in our department. 24(51.1%) of these were upper and 23 (48.9%) lower GB. Hematemesis was detectedin 40.4% (n:19), melena in 14.9% (n:7) and hematochezia in 44.7% (n:21) ofthem. Patients who applied with melena were mostly <5 years (n:4, 57.1%)which was statistically significant. Twentyof the patients (42.6%) had drug usage history. 18 (90%) were found to usenon-steroidal anti-inflammatory drugs. 6 of the 12 Helicobacter pylori positive(50%) patients were diagnosed as gastritis with statistical significance. 6patients (50%) with positive Helicobacter pylori were found to have astatistically significant complaint of hematemesis.Conclusion: Inthis study, gastritis and peptic ulcer were the most common causes of GB. Theassessment of GB according to risk factors, revealed that, non-steroidalanti-inflammatory drug usage and Helicobacter pylori infection were associatedwith mucosal lesions. Therefore, patients admitted to pediatric emergencydepartments should be evaluated carefully and informed about rational drugusage. CR - Referans 1. Wyllie R, Hyams JS, Kay M. Gastrointestinal Hemorrhage. In: Sahn B, Namula P, Friedlander J (Editors). 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UR - https://doi.org/10.31832/smj.359943 L1 - https://dergipark.org.tr/en/download/article-file/398646 ER -