Système gastro-intestinal et digestif

Abstrait

Determinants and Outcome of Acute Upper Gastrointestinal Bleeding in Yemen

Mohammed Haidar Hazaa Hassan Al-Dholea, Abdul Salam Mohammed Mohsen Mohammed Al-Makdad, Mohammed Ahmed Mohammed Al-Haimi, Mahmoud Taha Ahmed Makky, Omar Salem Abdellah hassan Balfaqih, Waled Amen Mohammed Ahmed and Abdalkhaliq ahmed obadi

Background: Upper gastrointestinal bleeding is a major medical emergency and one of the most important indications for hospital admissions. The etiology varies in different parts of the world.

Objectives: The study aimed to determine the occurrence, the risk factors and outcome of acute upper gastrointestinal tract bleeding in Yemen.

Materials and Methods: This is a retrospective study. The medical records of all patients in four Yemeni hospitals within the last 4 years were reviewed, 18 years of age and older, admitted with upper gastrointestinal bleeding as indicated by coffee ground material or bright red blood in gastric aspirates or black, tarry stools in addition to demographic data.

Results: There were 350 cases of acute upper gastrointestinal bleeding admitted to the four hospitals within the last 4 years. The commonest causes of upper gastrointestinal bleeding in Yemen were oesophageal varices [90%], erosive gastritis [3.43%] and peptic ulcers 6% [DU: 3.43%, GU: 2.57%] ; Duodenal ulcers, gastric ulcers and malignancy were not so common causes of acute upper GIT bleeding in comparison with oesophageal varices. Patients with variceal bleeding were younger and had a higher mortality rate than non-variceal bleeders.

Conclusion: The rate of upper GI bleeding in Yemeni patients is common with many significant causes. The most common causes were esophageal varices, peptic ulcer disease, gastric cancer and erosive gastritis.