RETROSPECTIVE ANALYSES OF 322 UPPER GASTRO INTESTINAL BLEEDING CASES AND EMERGENCY DIAGNOSTIC ENDOSCOPY
LEVENT BOZATLI, MEHMET ALİ YERDEL KAAN KARAYALÇIN, METE DOLAPÇI, JEHAT KUTLAY, ŞADAN ERASLAN
Ankara Üniversitesi Genel Cerrahi A.B.D. ANKARA
Abstract
In a retrospective study of 322 patients with upper gastrointestinal hemorrhage (UGH) admitted to our hospital in the past 6 years, the overall mortality was 12.11%.(11.7% for the medical, 14.5% for the surgical therapy). While the most common cause of UGH was duodenal ulcers (49.3 %), the highest mortality rates were observed in patients with bleeding esophageal varices (53.8 %).The most significant factors effecting the mortality rates in UGH patients with peptic ulcer, erosive gastritis and undiagnosed bleeding sites were: Age over 60, admission hematocrit value less than 27%, receiving more than 5 units of blood and the presence of concomitant diseases (p<0.05). The same correlation was not observed in patients with a diagnostic accuracy rate of 93.4% in our series, is seemed to be a very valuable and a safe procedure which must be applied to all UGH cases.