Tags

Type your tag names separated by a space and hit enter

Causes and outcome of upper gastrointestinal bleeding in Emergency Endoscopy Unit of Ain Shams University Hospital.
J Egypt Soc Parasitol. 2011 Aug; 41(2):455-67.JE

Abstract

This prospective follow-up study was designed to analyze the causes and outcome of upper gastrointestinal bleeding among patients presenting by hematemesis and/or melena to Emergency Endoscopy Unit, Ain Shams University Hospitals. One thousand patients presented by upper GIT bleeding were subjected to complete clinical evaluation, emergency upper gastrointestinal endoscopy and therapeutic interventions as indicated. Follow up was done for occurrence of re-bleeding or mortality. Variceal causes of bleeding were the most common, representing 70.1% followed by non-variceal causes (26.1%) and obscure causes (3.8%). Esophageal varices (EV) alone represented 17.8% of causes of variceal bleeding, while combined esophageal and gastric varices represented 39.5% and isolated gastric varices 12.8%. Gastric lesions were the most common causes of non variceal bleeding. Recurrence of bleeding occurred in 19.4% of variceal group in comparison to 6.1% of non variceal group, while mortality was found in 4.3% of variceal group in comparison to 1.5% of non variceal group with very highly significant difference (P <0.001). Hypertension, ascites, EV columns, EV grade IV, presence of gastric varices and associated respiratory disorder were independent factors associated with recurrence of bleeding in variceal group. In non variceal group, recurrence of bleeding was significantly related only to the presence of gastric ulcers (P=0.035). Independent factors associated with mortality in studied patients were age, associated diabetes, presence of esophageal varices and associated duodenal ulcer.

Authors+Show Affiliations

Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21980783

Citation

Elwakil, Reda, et al. "Causes and Outcome of Upper Gastrointestinal Bleeding in Emergency Endoscopy Unit of Ain Shams University Hospital." Journal of the Egyptian Society of Parasitology, vol. 41, no. 2, 2011, pp. 455-67.
Elwakil R, Reda MA, Abdelhakam SM, et al. Causes and outcome of upper gastrointestinal bleeding in Emergency Endoscopy Unit of Ain Shams University Hospital. J Egypt Soc Parasitol. 2011;41(2):455-67.
Elwakil, R., Reda, M. A., Abdelhakam, S. M., Ghoraba, D. M., & Ibrahim, W. A. (2011). Causes and outcome of upper gastrointestinal bleeding in Emergency Endoscopy Unit of Ain Shams University Hospital. Journal of the Egyptian Society of Parasitology, 41(2), 455-67.
Elwakil R, et al. Causes and Outcome of Upper Gastrointestinal Bleeding in Emergency Endoscopy Unit of Ain Shams University Hospital. J Egypt Soc Parasitol. 2011;41(2):455-67. PubMed PMID: 21980783.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Causes and outcome of upper gastrointestinal bleeding in Emergency Endoscopy Unit of Ain Shams University Hospital. AU - Elwakil,Reda, AU - Reda,Mohga A, AU - Abdelhakam,Sara M, AU - Ghoraba,Dalia M, AU - Ibrahim,Wesam A, PY - 2011/10/11/entrez PY - 2011/10/11/pubmed PY - 2011/11/9/medline SP - 455 EP - 67 JF - Journal of the Egyptian Society of Parasitology JO - J Egypt Soc Parasitol VL - 41 IS - 2 N2 - This prospective follow-up study was designed to analyze the causes and outcome of upper gastrointestinal bleeding among patients presenting by hematemesis and/or melena to Emergency Endoscopy Unit, Ain Shams University Hospitals. One thousand patients presented by upper GIT bleeding were subjected to complete clinical evaluation, emergency upper gastrointestinal endoscopy and therapeutic interventions as indicated. Follow up was done for occurrence of re-bleeding or mortality. Variceal causes of bleeding were the most common, representing 70.1% followed by non-variceal causes (26.1%) and obscure causes (3.8%). Esophageal varices (EV) alone represented 17.8% of causes of variceal bleeding, while combined esophageal and gastric varices represented 39.5% and isolated gastric varices 12.8%. Gastric lesions were the most common causes of non variceal bleeding. Recurrence of bleeding occurred in 19.4% of variceal group in comparison to 6.1% of non variceal group, while mortality was found in 4.3% of variceal group in comparison to 1.5% of non variceal group with very highly significant difference (P <0.001). Hypertension, ascites, EV columns, EV grade IV, presence of gastric varices and associated respiratory disorder were independent factors associated with recurrence of bleeding in variceal group. In non variceal group, recurrence of bleeding was significantly related only to the presence of gastric ulcers (P=0.035). Independent factors associated with mortality in studied patients were age, associated diabetes, presence of esophageal varices and associated duodenal ulcer. SN - 1110-0583 UR - https://www.unboundmedicine.com/medline/citation/21980783/Causes_and_outcome_of_upper_gastrointestinal_bleeding_in_Emergency_Endoscopy_Unit_of_Ain_Shams_University_Hospital_ L2 - https://ClinicalTrials.gov/search/term=21980783 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -