Management of acute upper non-variceal gastrointestinal bleeding in University hospital: four-year retrospective analysis

Abstract

Introduction. Upper non-variceal gastrointestinal bleeding (UGIB) is a potentially lethal complication. It is crucial to evaluate the risk factors for rebleeding, need for surgery and mortality. Aims&methods. To assess the outcomes of nonvariceal UGIB cases in the University hospital and to evaluate the Rockall score as a prognostic tool for the rebleeding, surgery and mortality. The retrospective analysis of the patients admitted to the Hospital of Lithuanian University of health sciences due to nonvariceal UGIB in the years 2008 to 2011 was performed. Results. We analyzed 571 cases: 359 (63%) male, mean age – 57.7±17.1, and 212 (37%) female, mean age – 67.8±16.8, p<0.05. Most common reason was peptic ulcer, found in 452 (79%) patients, other reasons were: Mallory-Weiss tear in 51 (9%), angiodysplasias – 13 (3%), hemorrhagic gastritis – 25 (4.5%), erosive esophagitis 0 8 (1.5%), gastric erosions – 17 (3.0%) cases. Active bleeding (Forrest IA, IB) found in 151 (26%) cases, non-active (Forrest IIA, IIB, IIC, III) in 420 (74%) cases. Endoscopic hemostasis applied in 337 (59%) of active bleeding cases and in 187 (44%) of non-active bleeding cases. [...].