Son 15 yılda akut üst gastrointestinal sistem kanaması olan hastaların endoskopik bulgularında ne değişti

Abstract

Background and aims: In the Endoscopy Unit of Haydarpasa Numune Education and Research Hospital, the endoscopic results of 240 patients who were diagnosed with upper gastrointestinal bleeding were evaluated between February 1, 2007 and May 1, 2008. Materials and methods: These results were compared with results in the same unit obtained over a 15-month period between 1992 and 1993. Results: Of the 240 patients who were evaluated by endoscopy between February 1, 2007 and May 1, 2008, 169 were male, 71 were female, and the median age was 57 (14- 86); 40% were over 60 years old. Of the patients evaluated 15 years ago, the median age was 47.5 (12-84) and 37% were over 60 years old. In the 2008 results, 36.2% of the patients had active bleeding. These patients were endoscopically treated with: injection (82.7%), argon plasma coagulation (12.6%) or heater probe (4.6%). However, in 1993, the ratio of active bleeding was 26%, and these patients were treated by injection only. The most common bleeding cause, duodenal ulcer, significantly decreased (p0.05). This decrease may be related to the improvements in the diagnosis and treatment of end-stage chronic liver disease patients. With technical improvements and the expertise of clinicians, lesions that are relatively difficult to diagnose, such as arteriovenous malformations and Dieulafoy's lesion, are expected to be diagnosed more commonly.