ĐẶC ĐIỂM TÁI PHÁT SAU NỘI SOI CẦM MÁU CỦA XUẤT HUYẾT TIÊU HÓA CAO DO LOÉT DẠ DÀY – TÁ TRÀNG

Abstract

Upper gastrointestinal bleeding (UGIB) due to peptic ulcer disease is a common medical and surgical emergency, in which rebleeding after initial endoscopic hemostasis is a serious complication affecting patient prognosis. This study was conducted at the Emergency and Intensive Care Department, Hanoi Medical University Hospital, to describe the clinical, paraclinical characteristics and endoscopic findings in patients with rebleeding during the period from January 2022 to April 2025. A total of 337 patients aged ≥ 16 years with UGIB caused by peptic ulcers and treated with endoscopic hemostasis were included; among them, 26 cases (7.7%) experienced rebleeding, predominantly male (73.1%), with a mean age of 60 years. The most common ulcer site was the anterior duodenal bulb (73.1%), and the average length of hospital stay was 20.4 ± 18.8 days. Forrest classification, ulcer location, and volume of transfused blood were not independent predictors of rebleeding or clinical outcomes. Additionally, early rebleeding (≤ 72 hours) showed no statistically significant association with treatment outcomes.