Senja Moratimur studies Medical Education, Earth Sciences, and Medicine. I’ve ever thinking about die is better than alive. A Rare Cause of Recurrent Hematemesis Melena. Griskalia Christine*, Irsan Hasan**. *Department of Internal Medicine, Faculty of Medicine, University of. TABLE HEMATEMESIS AND MELENA V Vascular I Inflammatory N Neoplasm Carcinomas of esophagus and lung D Degenerati ve and.

Author: Virg Barg
Country: El Salvador
Language: English (Spanish)
Genre: Medical
Published (Last): 4 July 2018
Pages: 236
PDF File Size: 16.45 Mb
ePub File Size: 7.46 Mb
ISBN: 696-9-93161-318-2
Downloads: 7570
Price: Free* [*Free Regsitration Required]
Uploader: Vuramar

The use of drugs considered a priori to be potentially related to increased risk of GI bleeding. The Icelandic Medicines Registry records all prescriptions issued outside of hospitals and nursing homes in Iceland and is run by the Directorate of Health in Iceland.

Upper gastrointestinal tract safety profile of alendronate: Information on the use or sale of prescribed drugs in these institutions was also accessible. The aims of the current study were to study the incidence of AUGIB in a population-based setting, with a particular focus on the role of drugs in its etiology.

Further information on laboratory parameters can be found in Supplementary Table I. Open in a separate window. Use of single and combined antithrombotic therapy and risk of serious upper gastrointestinal bleeding: Changing trends in acute upper gastrointestinal bleeding in Crete, Greece: Individuals who were non-residents of the greater metropolitan area were all excluded.

All of these asoep analyzing studies had their former time period in the 80s or 90s and the latter time period after [ 3,7—9 ]. Inhibition of serotonin reuptake by antidepressants and upper gastrointestinal bleeding in elderly patients: Data from Medical Record Dr.

Senja Moratimur –

The crude annual incidence of AUGIB is illustrated as well as age standardized incidence rates for certain age groups. The diagnoses found in the total study cohort. Remember me on this computer. In a stepwise multiple logistic regression with clinically significant bleeding as the dependent variable, the following variables were found to be independent predictors of clinically significant bleeding: The authors report no conflict of interest.

  EDITAL CHESF 2007 PDF

National Center for Biotechnology InformationU. The authors would also like to thank Runar Gudlaugsson Msc.

Hernia is a protsution the contents of the body usually the abdomen through a defect or the weakest part of the wall cavity concerned. All information on transfusions is stored in an electronic information system Prosang, Databyran, Sweden and hematemesjs traceability is ensured. Su validation of the diagnosis for upper gastrointestinal bleeding in a Dutch medical record database.

An epidemiological study of acute upper gastrointestinal bleeding in Crete, Greece. Risk assessment after acute upper gastrointestinal haemorrhage. A larger portion of the bleeders were using warfarin than non-bleeders. Click here to sign up. The oldest person in the greater metropolitan area during the study period was years old.

Factors 1 and 2 make the incidence seem higher than it should be, asmep 3 makes hematsmesis incidence seem lower than it should be.

Independent predictors of clinically significant bleeding were gastric ulcer OR 6. Socioeconomic background has been found to be important in some studies as the most socially deprived were two times more likely than the least socially deprived to have an UGIB [ 2,4 ], which might play a part in the explanation for the varying incidence.

Of the 14, individuals in the greater metropolitan area treated with LDA, 53 had a bleeding episode and therefore 1 in every patients treated experienced AUGIB. Another limitation of this study is that individuals with AUGIB might have died without undergoing endoscopy, although this is rare. AUGIB was more prevalent among men and older people.

Risk of upper gastrointestinal tract bleeding associated with selective serotonin reuptake inhibitors and venlafaxine therapy: Recently, a study from the Netherlands has confirmed this [ 33 ]. Supplementary Tables I and II. In all, Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas.

Nursing care, hernia inguinalis, urinal system. Of all those who underwent UGE many individuals were excluded, they can be divided into five groups:. The authors’ methodology by which the incidence of AUGIB in drug users was obtained is not without flaws.

  A SECRET SORROW KAREN VAN DER ZEE PDF

DD Hematemesis Melena

Furthermore, the authors aimed to analyze the overall outcome in these patients. In all studies except one [ 34 ], duodenal ulcers were more common than gastric ulcers. The authors were uncertain that the mortality reported by them might in fact be higher. Yunus hospital that hernia disease patients in were patients, amounted to patients, and in amounted 60 patients.

The main strengths of this study are its prospective and population-based design.

In conclusion, peptic ulcers remain the most common cause of AUGIB with duodenal ulcers being more common than azkep ulcers. Variables with a significant p -value in the univariate analysis were entered into a multiple logistic regression analyses in an attempt to identify independent predictors of having an AUGIB and clinically significant bleeding.

Other variables noted were: The use of low-dose aspirin LDA as an anticoagulant is increasing [ 17 ] and an association with increased risk of AUGIB [ 17—19 ] has been well documented. Out of the two patients who were successfully surgically treated, one patient had a perforated gastric ulcer M31 whereas the other had a bleeding duodenal ulcer M58 Table V.

Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting

Of the 93 patients requiring blood transfusion, 45 An evaluation of endoscopic indications and findings related to nonvariceal upper-GI hemorrhage in a large multicenter consortium. Serotonin reuptake inhibitor antidepressants and abnormal bleeding: SSRIs selective serotonin reuptake inhibitors seem to be associated with an increased risk of upper gastrointestinal bleeding UGIB in some studies [ 20—23 ] but the literature is conflicting on the role of SSRIs [ 24 ] and bisphosphonates [ 25—27 ] askpe this context.

In three patients the lesions were unspecific.