Bitlis İlinde Acil Servise Üst Gastrointestinal Kanama İle Başvuran Hastaların Endoskopik ve Demografik Verilerinin Değerlendirilmesi

Yıl 2018, , 54 - 56, 25.09.2018

Ramazan Güven Gökhan Eyüpoğlu Ufuk Barış Kuzu

https://doi.org/10.17940/endoskopi.459628

Öz

Giriş ve Amaç: Üst gastrointestinal sistem
kanamaları acil servise başvuruların önemli bir nedeni olup, erken tanı ve tedavi
gerektirmektedir. Bu çalışmanın amacı Bitlis ilinde üst gastrointestinal sistem
kanaması tanısı alan hastaların özelliklerini değerlendirmektir. Gereç ve Yöntem: Ocak 2014-Aralık 2017 tarihleri
arasında Bitlis Devlet Hastanesi acil servisi kliniğine üst gastrointestinal
sistem kanaması nedeni ile başvuran hastaların verileri retrospektif olarak incelendi.
Bu hastaların klinik özellikleri ve kanamaya yol açabilecek etiyolojik nedenler
değerlendirildi. Bulgular: Çalışmaya toplam 54 hasta
alındı. Hastaların çoğunluğunu erkekler (%59.3) oluşturmaktaydı.  En sık başvuru şikayeti hematemezdi.
Hastaların %22.8’inde kanamaya predispozan olabilecek ilaç kullanımı mevcuttu.  Hastaların ortalama yatış süresi 5.6±3.6 gün
idi. Etiyolojik açıdan en sık neden duedonum ve mide ülseri olarak saptandı. Sonuç: Bitlis ilinde üst
gastrointestinal sistem kanaması olan hastaların genel özellikleri ülkemizde bu
konu ile ilgili yapılan diğer çalışmalar ile uyum göstermekteydi.

Anahtar Kelimeler

Gastrointestinal kanama, endoskopi

Endoscopic and Demographic Features of Patients Presenting to the Emergency Department with Upper Gastrointestinal Bleeding in Bitlis Province

Öz

Background and Aims: Upper gastrointestinal tract hemorrhage is an important cause of urgent hospital admissions and requires early diagnosis and treatment. The aim of this study was to evaluate the clinical features of patients diagnosed with upper gastrointestinal tract hemorrhage in Bitlis. Materials and Methods: Patients attending the emergency department of Bitlis State Hospital for symptoms of upper gastrointestinal bleeding between January 2014 and December 2017 were evaluated retrospectively. The clinical characteristics of these patients and the etiologic causes that could lead to bleeding were evaluated. Results: Fifty-four patients were included in the study, and most of them were male (59.3%). The most common presenting symptom was hematemesis. In all, 22.8% of patients had a history of using medications that could predispose them to a higher risk of bleeding. The mean duration of hospitalization was 5.6±3.6 days. Duodenal and gastric ulcers were the most common etiologic factors. Conclusion: The general characteristics of the patients diagnosed with upper gastrointestinal tract hemorrhage in Bitlis were compatible with related studies in our country.

Anahtar Kelimeler

Gastrointestinal bleeding, endoscopy

Kaynakça

• 1-Longstreth GF. Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 1995;90:206-10.
• 2-Silverstein FE, Feld AD, Gilbert DA. Upper gastrointestinal tract bleeding. Predisposing factors, diagnosis, and therapy. Arch Intern Med 1981;141:322-7.
• 3-Köksal Ö, Özeren G, Özdemir F, et al. Prospective validation of the Glasgow Blatchford scoring system in patients with upper gastrointestinal bleeding in the emergency department. Turk J Gastroenterol 2012;23:448-55.
• 4- Paspatis GA, Matrella E, Kapsoritakis A, et al. An epidemiological study of acute upper gastrointestinal bleeding in Crete, Greece. Eur J Gastroenterol Hepatol 2000;12:1215-20.
• 5- Del Piano M, Bianco MA, Cipolletta L, et al; Prometeo study group of the Italian Society of Digestive Endoscopy (SIED). The “Prometeo” study: online collection of clinical data and outcome of Italian patients with acute nonvariceal upper gastrointestinal bleeding. J Clin Gastroenterol 2013;47:e33-e7.
• 6-İçme F, Satar S, Akın FE, et al. Analysis of endoscopic and demographic data of the patients admitted to the emergency department with non-variceal upper gastrointestinal bleeding. Turkish Medical Journal 2011;5:5-11.
• 7- Göksu E, Erken Ö, Erçetin Y, et al. Factors effecting mortality and demographic properties of patients presenting to the emergency department of Akdeniz University Hospital with upper gastrointestinal bleeding. Turk J Emerg Med 2004;4:121-6.
• 8-Gündüz A, Kesen J, Topbaş M, et al. Acil servise başvuran üst gastrointestinal sistem kanamalı olguların retrospektif analizi. İç Hastalıkları Dergisi 2004;11:57-61.
• 9-Theocharis GJ, Arvaniti V, Assimakopoulos SF, et al. Acute upper gastrointestinal bleeding in octogenarians: clinical outcome and factors related to mortality. World J Gastroenterol 2008;14:4047-53.
• 10- Türedi S, Gündüz A,Yandı M. An etiological and prognostic evaluation of patients with upper gastrointestinal bleeding from Karadeniz Technical University Department of Emergency Medicine. Turk J Emerg Med 2010;10:20-5.
• 11- Garcia Rodriguez LA, Hernandez-Diaz S. Relative risk of upper gastrointestinal complications among users of acetaminophen and nonsteroidal anti-inflammatory drugs. Epidemiology 2001;12:570-6.
• 12- American Gastroenterological Association, Wilcox CM, Allison J, Benzuly K, et al. Consensus development conference on the use of nonsteroidal anti-inflammatory agents, including cyclooxygenase-2 enzyme inhibitors and aspirin. Clin Gastroenterol Hepatol 2006;4:1082-9.
• 13- Pearson TA, Blair SN, Daniels SR, et al. AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation 2002;106:388-91.