ENDOSCOPIC CHARACTERISTICS OF PEPTIC ULCER-RELATED UPPER GASTROINTESTINAL BLEEDING IN PATIENTS AT 108 MILITARY CENTRAL HOSPITAL
Main Article Content
Abstract
Objective: To describe the gastroduodenal endoscopic findings in patients with upper gastrointestinal bleeding caused by peptic ulcers at the Department of Gastroenterology, 108 Military Central Hospital. Methods: A cross-sectional descriptive study was conducted. Results: The majority of patients were aged between 30–49 years (45.28%) and 50–69 years (28.3%), with a predominance of male patients (64.15%). Most cases of upper gastrointestinal bleeding were attributed to duodenal ulcers (75.47%). Among patients with gastric lesions, 88.46% had a single ulcer, primarily located in the antrum and along the lesser curvature (42.3%), with ulcer sizes ranging from 0.6 to 1.9 cm in 76.92% of cases. Regarding duodenal lesions, 80% presented with a single ulcer, and 71.25% had ulcers measuring between 0.6 and 1.9 cm. Conclusion: The majority of patients experienced upper gastrointestinal bleeding due to duodenal ulcers (75.47%). Among those with gastric lesions, 88.46% had a single ulcer, most commonly located in the antrum and along the lesser curvature (42.3%), with ulcer sizes ranging from 0.6 to 1.9 cm (76.92%). Similarly, 80% of patients with duodenal involvement had a solitary ulcer, with 71.25% measuring between 0.6 and 1.9cm.
Article Details
References
2. Đào Văn Long (2012), Bệnh học nội khoa tập 2, Nhà xuất bản Y học, Hà Nội.
3. Wilcox C.M and Clark W.S (1999), “Causes and outcome of upper and lower gastrointestinal bleeding: the Grady Hospital experience”, Southern medical journal,92(1).
4. British Society of Gastroenterology Endoscopy Committee (2002), “Non variceal upper gastrointestinal haemorrhage: guidelines”, Gut, Vol. 51(4), pp. 1 - 6.
5. Peng Xiaowei Xu Linzhen Wang Chendang et al., (2004), “An analysis of 8351 cases upper gastrointestinal bleeding”, Journal of gastroenterology and hepatology, vol 19, pp.A 528.
6. Đặng Thị Kim Oanh (2004), “Effectiveness of endoscopic hemostatic injection therapy in bleeding peptic ulcers at Bach Mai Hospital during 2 years”, Proceedings of the congress, Vth congress on gastroenterology of South East Asuan nations, Hà Nội.
7. Lê Hùng Vương (2006), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và nội soi của xuất huyết tiêu hóa do loét dạ dày – tá tràng, luận văn thạc sỹ y học Trường Đại học Y Hà Nội.
8. Lanas A, Aabakken L, Fonseca J, et al. (2011). Clinical predictors of poor outcome among patients with nonvariceal upper gastrointestinal bleeding in Europe. Aliment Pharmacol Ther. 33(1), 1225-1233.
9. Longstreth G.F. (1995). Epidemiology of hospitalization for acute upper gastrointestinal haemorrhage: a population – based study. Am JGastroenterol, 90, 206.
10. Skender Telaku, Bledar Kraja, Gentiana Qirjako, et al. (2014). Clinical outcomes of nonvariceal upper gastrointestinal bleeding in Kosova.Turk J Gastroenterol. 25(1). 110-115.
11. Mohammad, Yattoo G.N, Javid G, et al. (1997). A comparison of Omeparazole and placebo for bleeding peptic ulcer. N Engl J Med.Vol.336(15), pp.1054-1058.