Article Details

Bleeding Peptic Ulcer: Epidemiology, Treatment and Prognosis

[ ISSN : 3067-977X ]

Abstract

Budimir I¹, Stojsavljevic S¹*, Nikolic M¹, Kralj D¹, Biscanin A¹, Kirigin LS², Zovak M³, Babic Z⁴, Bohnec S⁵ and Budimir I⁶

¹Division of Gastroenterology, Department of Internal Medicine, University of Zagreb, Croatia
²Division of Endocrinology, Department of Internal Medicine, University of Zagreb, Croatia
³Department of Surgery, University of Zagreb, Croatia
?Division of Gastroenterology, Department of Internal Medicine, University of Zagreb, Croatia
?Department of Emergency Medicine, University of Zagreb, Croatia
?Clinic of Cardiovascular Diseases, University of Zagreb, Croatia

Corresponding Author:

Sanja Stojsavljevic, Division of Gastroenterology, Department of Internal Medicine, University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradskaul, 29, Croatia, Tel: 00385989055961; Fax: 0038513787448; Email: sanja. stojsavljevic1@gmail.com

Keywords: GI bleeding; Peptic ulcer bleeding; Gastric ulcer; Duodenal ulcer; Endoscopic treatment

Abstract

Aims: The aim of this study was to demonstrate epidemiological, clinical and endoscopic characteristics of acute Upper Gi Bleeding (UGIB) with a focus on Peptic Ulcer Bleeding (PUB).

Methods: This study included 2198 consecutive patients that were referred to our emergency department due to acute Upper Gi Bleeding (UGIB) from January 2008 to December 2012. All patients under went urgent upper GI endoscopies within 24 hours of admission, and 842 patients diagnosed with PUB were enrolled and prospectively followed.

Results: The cumulative incidence of UIGB was 126/100000 for a 5-year period. Two out of five patients had a bleeding peptic ulcer, of which 440 (52.3%) patients had a bleeding gastric ulcer, 356 (42.3%) had a bleeding duodenal ulcer, 17 (2%) had both bleeding gastric and duodenal ulcers and 29 (3.5%) patients had bleeding ulcers on gastroenteric anastomosis. PUB was more common in men. Average patient age was 65.9 years. The majority of patients with PUB were taking agents that attenuate the cytoprotective function of the gastric and duodenal mucosa (57%).Half of the patients received a red blood cell transfusion, with a median of 2.2 units. Re-bleeding occurred in 77(9.7%) patients and 47 (5.9%) required surgical intervention. The thirty-day morality was 5.2%, and 10% of patients died from uncontrolled bleeding and concomitant diseases.

Conclusion: PUB is the main cause of UGIB, characterized by a significant re-bleeding rate and mortality.

Citation

Budimir I, Stojsavljevic S, Nikolic M, Kralj D, Biscanin A, Kirigin LS, et al. Bleeding Peptic Ulcer: Epidemiology, Treatment and Prognosis. J Gastroenterol. 2017; 3(1): 1007.

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Received: December 12, 2016

Accepted: May 24, 2017

Published: May 31, 2017