Outcome of Upper Gastrointestinal Hemorrhage(UGIH) Treatment in Nangrong Hospital, Buriram
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Abstract
Background: Upper gastrointestinal hemorrhage (UGIH) is a common and important condition in general practice because of high mortality rate. No data are available about UGIH in Nangrong Hospital.
Objective: To evaluate the etiology and results after treatment of UGIH at Nangrong Hospital.
Methods: Retrospective study of the medical records of the patients who presented with UGIH and underwent EGD from January 2019 to December 2021.
Results: There were 198 patients, consisted of 152 males (76.8%) and 46 females (23.2%), aged between 20-91 years. Major risk factors were alcohol (82 cases, 41.4%) and NSAIDs (66 cases, 33.3%). The causes of UGIH were gastric ulcer (109 cases, 55.1%), duodenal ulcer (62 cases, 31.3%), gastritis (26 cases, 13.1%), esophageal varices (11 cases, 5.5%) and gastric polyps (3cases, 1.5%). Therapeutic endoscopy resulted in hemostatic success for 192 cases(96.5%).
Conclusions: Gastric ulcers and duodenal ulcers were the major cause of UGIH. Endoscopy is a key procedure to identify, evaluate the causes and perform treatment instantly. Patients with those anemia and major stigmata of recent hemorrhage should be paid closer attention.
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