Clinical outcome of early endoscopy in patients with acute upper gastrointestinal bleeding in Alexandria emergency department

Abstract

ABSTRACT Background Upper gastrointestinal bleeding (UGIB) is a life-threatening emergency that causes considerable mortality and morbidity. The current study goal was to look at the endoscopic profile and clinical outcomes of patients with UGIB in Alexandria emergency department. Patients and methods 120 patients who had been admitted with acute UGIB were included in this study. All patients underwent upper gastrointestinal endoscopy. Outcomes that were determined included complications like re-bleeding, need for surgical intervention, mortality, hospital stay length, admission to intensive care units (ICUs), transfusion requirement, and re-admission. Results The majority of patients were males (69.2%) with a mean age of (45.47 ± 10.46). The most prevalent lesions causing UGIB were esophageal varices (65.8%) and (45.0%) presented with hematemesis. 51.7% were treated by band ligation. Death was reported in 5.00% and all patients who died had comorbidities, 6.7% re-bled and 50.0% of patients who re-bled were ≥ 60 years. 36.6% of patients had Rockall score (RS) ≥3. There was statistically significant relation between high RS and re-bleeding and mortality (p < 0.001). Conclusion We encountered that the timing of endoscopy was a good determinant of adverse outcomes in UGIB.