GASTROİNTESTİNAL ANJİYODİSPLAZİLİ HASTALARDA KANAMAYI ETKİLEYEN KLİNİK ÖZELLİKLER VE RİSK FAKTÖRLERİNİN DEĞERLENDİRİLMESİ

AMAÇ: Bu çalışmanın amacı, anjiyodisplazili hastalarda kanamayı etkileyen klinik özellikleri ve risk faktörlerini değerlendirmektir. GEREÇ VE YÖNTEM: Bu retrospektif çalışma Ocak 2016 ile Aralık 2019 tarihleri arasında yapılmış olup, iki kurumda herhangi bir nedenle endoskopi/kolonoskopi tetkiki yapılan hastalar dahil edilmiştir. Anjiyodisplazili hastalar kanama durumlarına göre iki gruba ayrılarak klinik özellikleri ve kanamayı etkileyen risk faktörleri incelendi. BULGULAR: Endoskopi ve kolonoskopi yapılan 44 (%2,02) hastada anjiyodisplazi tespit edildi. Anjiyodisplazili hastaların %25'inde (n=11) kanama tespit edildi. Kanamalı anjiyodisplazi hastalarında varfarin kullanım sıklığı (p=0,016) ve kalp hastalığı sıklığı (p=0,008) daha yüksekti. Kanamalı anjiyodisplazi hastalarında hemoglobin (p=0,001), hematokrit (p

Anahtar Kelimeler:

Arteriovenöz Malformasyonlar, Anjiyodisplazi, Endoskopi, Kolonoskopi, Gastrointestinal Kanama, Risk Faktörleri

EVALUATION OF CLINICAL FEATURES AND RISK FACTORS AFFECTING BLEEDING IN PATIENTS WITH GASTROINTESTINAL ANGIODYSPLASIA

AIM: The aim of the study was to evaluate the clinical features and risk factors affecting bleeding in patients with angiodysplasia. MATERIA L AND METHOD: This retrospective study was conducted between January 2016 and December 2019, and included patients who underwent endoscopy/colonoscopy examination for any reason at two institutions (n=2177). Patients with angiodysplasia were divided into two groups according to their bleeding status, and their clinical features and risk factors affecting bleeding were analyzed. RESULTS: Angiodysplasia was detected in 44 (2.02%) patients who underwent endoscopy and colonoscopy. Bleeding was detected in 25% (n=11) of patients with angiodysplasia. Warfarin use frequency (p=0.016) and heart disease frequency (p=0.008) were higher in patients with angiodysplasia with bleeding. Hemoglobin (p=0.001), hematocrit (p

Keywords:

Arteriovenous Malformations, Angiodysplasia, Endoscopy, Colonoscopy, Gastrointestinal Hemorrhage, Risk Factors,

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