Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Acil Servisine Akut Üst Gastrointestinal Sistem Kanaması ile Başvuran Hastaların Analizi

Yıl 2022, Cilt: 17 Sayı: 3, 123 - 128, 02.11.2022

Muhammed Semih Gedik , Hakan Hakkoymaz , Ali İhsan Kilci , Özlem Güler , Yavuzalp Solak

https://doi.org/10.17517/ksutfd.1012667

Cited By: 1

Öz

Özet

Amaç: Gastrointestinal sistem kanamaları acil serviste sıkça karşılaşılan ve hayatı tehdit etme potansiyeli yüksek olan bir sağlık sorunudur. Acil servisimize başvuran ve üst gastrointestinal sistem kanama tanısı alan hastalardaki etiyolojik sebepleri, klinik bulguları, endoskopik bulguları ve prognozu belirlemek için bu çalışmayı planladık.

Gereç ve Yöntemler: Üst gastrointestinal sistem kanaması nedeniyle acil servise başvuran hastaların dosyaları retrospektif olarak incelendi. Çalışmaya alınan 31 hastanın demografik verileri, klinik özellikleri, etiyolojik sebepleri, laboratuvar ve endoskopi sonuçları incelendi. İstatistiksel değerlendirmede Student t ve Oneway ANOVA testi ve SPSS 20.0 paket programı kullanıldı. İstatistiksel olarak p<0.05 anlamlı kabul edildi.

Bulgular: Hastaların en sık başvuru sebebi hematemezdi. Hastalara yapılan endoskopi işlemi sonucunda en sık eroziv gastrit saptandı. Tedavi olarak %16.1 oranında hastaya skleroterapi, diğer hastalara da medikal tedavi uygulanmıştı. Hastaların %83.9’u taburcu olmuş, %16.1’i ise exitus olmuştu.

Sonuç: Non-steroid anti-inflamatuar grubu analjezikler ve antiagregan grubu ilaçlar üst gastrointestinal sistem kanamasında önemli rol oynamaktadır. Özellikle ek hastalık öyküsü olan yaşlı popülasyonun ilaç kullanımı dikkatli sorgulanmalı ve analjezikler reçete edilirken gastrointestinal sistem kanama olasılığı unutulmamalıdır. Mortalite üst gastrointestinal sistem kanamalı hastalarda yüksektir. Tedaviye hızla başlanmalı ve endoskopi en kısa sürede planlanmalıdır.

Anahtar Kelimeler

GİS Kanama, acil servis, endoskopi, ülser, gastrit

Analysis of Patients With Acute Upper Gastrointestinal System Hemorrhage Applying to Kahramanmaras Sutcu Imam University Medical Faculty Emergency Department

Öz

Abstract

Objective: Gastrointestinal system bleeding is a health problem with a high life-threatening potential that is frequently encountered in emergency departments in hospitals. This study was planned to determine the etiologic causes, clinical findings, endoscopic findings, and prognosis in patients admitted to our emergency department and diagnosed with upper gastrointestinal system bleeding.

Material and Methods: The files of the patients admitted to emergency department due to upper gastrointestinal system bleeding were retrospectively reviewed. Demographic data, clinical characteristics, etiological causes, laboratory and endoscopic results of 31 patients were reviewed. In statistical evaluation, Student t test, One way ANOVA test and SPSS 20.0 package program was used. p<0.05 was considered statistically significant.

Results: Hematemesis was the most common reason for admission. As a result of the endoscopic procedure performed on the patients, erosive gastritis was found most frequently. 16.1% of the patients underwent sclerotherapy, and other patients underwent medical treatment. 83.9% of the patients were discharged, however, 16.1% of them died.

Conclusion: Analgesics of the non-steroidal anti-inflammatory drugs group and the drugs of the antiaggregant group play a significant role in upper gastrointestinal system bleeding. The drug use should be carefully investigated especially in the elderly population with a history of comorbidities, and the possibility of gastrointestinal system bleeding should not be forgotten while prescribing analgesics. Mortality is high in patients with upper gastrointestinal system bleeding, the treatment should be initiated quickly, and endoscopy should be planned as soon as possible.

Anahtar Kelimeler

Gastrointestinal system bleeding, Emergency department, Endoscopy, Ulcer, Gastritis

Kaynakça

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