Demographic analysis of gastrointestinal system bleedings
Ömer Yüceer1, Ali Duman2, Ayhan Akoz2, Serhat Örün3, Kenan Ahmet Türkdoğan4
1Department of Emergency Medicine, Kadirli State Hospital, Osmaniye, Turkey
2Department of Emergency Medicine, Adnan Menderes University Medical Faculty, Aydın, Turkey
3Department of Emergency, Medicine Faculty of Namık Kemal University, Tekirdağ, Turkey
4Department of Emergency, Health Ministry University Bağcılar Training and Research Hospital, Istanbul, Turkey
Keywords: Endoscopy, gastrointestinal system bleeding, treatment
Abstract
Objectives: This study aims to examine patients with gastrointestinal system (GIS) bleeding and evaluate the appropriate treatment methods.
Materials and methods: This retrospective study included 164 patients (99 males, 65 females; mean age 66.87 years; range, 21 to 97 years) with GIS bleeding. Demographic characteristics, complaints, habits, duration of hospitalization, and medications used by patients were determined from the files. The effects of hemogram, biochemistry, coagulation, age, gender, and endoscopic findings on mortality were investigated. The effects of endoscopic findings and presence of additional diseases on blood transfusion and other treatment modalities, duration of hospitalization, and mortality were also investigated.
Results: Of the patients with GIS bleeding, 48.8% applied to our hospital with complaint of melena, 24.4% of melena and hematemesis, 15.8% of hematemesis, 6.1% of hematochezia, and 4.9% of syncope. Mean duration of hospitalization was 4.65±4.14 days. While endoscopy was performed in 98.2% of the patients, endoscopy could not be performed in 1.8% of the patients who could not be stabilized.
Conclusion: Bleeding control is important to reduce mortality in patients with GIS bleeding. We believe that particularly endoscopic intervention contributes positively in reducing such patients’ mortality and morbidity.