Ramazan GÜVEN, Gökhan EYÜPOĞLU, Ufuk Barış KUZU

Bitlis İlinde Acil Servise Üst Gastrointestinal Kanama İle Başvuran Hastaların Endoskopik ve Demografik Verilerinin Değerlendirilmesi

Giriş ve Amaç: Üst gastrointestinal sistem kanamaları acil servise başvuruların önemli bir nedeni olup, erken tanı ve tedavi gerektirmektedir. Bu çalışmanın amacı Bitlis ilinde üst gastrointestinal sistem kanaması tanısı alan hastaların özelliklerini değerlendirmektir. Gereç ve Yöntem: Ocak 2014-Aralık 2017 tarihleri arasında Bitlis Devlet Hastanesi acil servisi kliniğine üst gastrointestinal sistem kanaması nedeni ile başvuran hastaların verileri retrospektif olarak incelendi. Bu hastaların klinik özellikleri ve kanamaya yol açabilecek etiyolojik nedenler değerlendirildi. Bulgular: Çalışmaya toplam 54 hasta alındı. Hastaların çoğunluğunu erkekler (%59.3) oluşturmaktaydı. En sık başvuru şikayeti hematemezdi. Hastaların %22.8’inde kanamaya predispozan olabilecek ilaç kullanımı mevcuttu. Hastaların ortalama yatış süresi 5.6±3.6 gün idi. Etiyolojik açıdan en sık neden duedonum ve mide ülseri olarak saptandı. Sonuç: Bitlis ilinde üst gastrointestinal sistem kanaması olan hastaların genel özellikleri ülkemizde bu konu ile ilgili yapılan diğer çalışmalar ile uyum göstermekteydi.

Anahtar Kelimeler:

Gastrointestinal kanama, endoskopi

Endoscopic and Demographic Features of Patients Presenting to the Emergency Department with Upper Gastrointestinal Bleeding in Bitlis Province

Background and Aims: Upper gastrointestinal tract hemorrhage is an important cause of urgent hospital admissions and requires early diagnosis and treatment. The aim of this study was to evaluate the clinical features of patients diagnosed with upper gastrointestinal tract hemorrhage in Bitlis. Materials and Methods: Patients attending the emergency department of Bitlis State Hospital for symptoms of upper gastrointestinal bleeding between January 2014 and December 2017 were evaluated retrospectively. The clinical characteristics of these patients and the etiologic causes that could lead to bleeding were evaluated. Results: Fifty-four patients were included in the study, and most of them were male (59.3%). The most common presenting symptom was hematemesis. In all, 22.8% of patients had a history of using medications that could predispose them to a higher risk of bleeding. The mean duration of hospitalization was 5.6±3.6 days. Duodenal and gastric ulcers were the most common etiologic factors. Conclusion: The general characteristics of the patients diagnosed with upper gastrointestinal tract hemorrhage in Bitlis were compatible with related studies in our country.

Keywords:

Gastrointestinal bleeding, endoscopy,

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