[Epidemiologic and diagnostic observations on hemorrhage of the upper gastroenteric tract].
Acute upper gastrointestinal (GI) bleeding causes, according to the authors' experience, 1.65% of all annual hospitalizations. Mortality rate among high risk patients is about 20% and cirrhotic patients have a particularly poor outcome (70% of deaths caused by gastrointestinal hemorrhage). Endoscopy has been performed in 329 cases to identify the active site of bleeding (7.22% of 4791 "EGDS" performed from 1984 to 1988). In this retrospective study gastric and duodenal peptic diseases, have been observed more frequently than esophageal varices ruptures (11.8%) and in 25% of patients Gl bleeding was associated with the use of potentially dangerous drugs (NSAID and/or Steroids). A prompt endoscopy is fundamental to recognize the etiology and for a better management of the patient; unfortunately, even if improvements have been obtained in the diagnosis and therapy, the mortality caused by gastrointestinal hemorrhage is not significantly reduced.
Giannetti
A
A
U.S.L. 28 Area Grossetana, Presidio Ospedaliero Misericordia Grosseto.
Corsetti
M
M
Quaranta
S
S
Zaccherotti
G
G
D000208:Acute Disease; D004945:Esophagoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology* / Q000209:etiology; D006396:Hematemesis / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008551:Melena / Q000453:epidemiology / Q000209:etiology; D008875:Middle Aged; D012189:Retrospective Studies
Osservazioni epidemiologiche e diagnostiche sulle emorragie del tratto gastroenterico superiore.