title: [Upper digestive tract hemorrhage; an assessment in the Amsterdam region].
abstract: OBJECTIVE
  To inventory diagnostic and therapeutic strategies and the value of endoscopy in upper gastrointestinal haemorrhage in Amsterdam and environs.
  
  
  METHODS
  Descriptive.
  
  
  METHODS
  Eight hospitals in and around Amsterdam.
  
  
  METHODS
  For 3 months all patients with upper gastrointestinal haemorrhage were recorded. The total group consisted of 132 patients.
  
  
  RESULTS
  The group included 81 men and 51 women, the mean age was 63 years. Prior to the symptoms, 44% had used acetylsalicylic acid, non-steroidal anti-inflammatory drugs or oral anticoagulants. Diagnostic endoscopy was performed in 85% within 24 hours. The most frequent diagnosis was ulcerative disease (48%). Medication was given to 86% of the patients, 20% underwent endoscopic (injection) therapy and only 17% were operated on. Recurrent haemorrhage was seen in 24%, overall mortality was 6%.
  
  
  CONCLUSIONS
  Ulcerative disease is still the most common cause of upper gastrointestinal haemorrhage. Medication is still more or less routinely administered, despite lacking proof of efficacy.
authors.affiliation: Academisch Medisch Centrum, afd. Maag-darm-leverziekten, Amsterdam.
authors.forename: E M
authors.initials: EM
authors.lastname: Vreeburg
authors.forename: J W
authors.initials: JW
authors.lastname: de Bruijne
authors.forename: J W
authors.initials: JW
authors.lastname: Bartelsman
authors.forename: I C
authors.initials: IC
authors.lastname: Wesdorp
authors.forename: P
authors.initials: P
authors.lastname: Snel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization; D002648:Child; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy*; D054328:Proton Pump Inhibitors; D012008:Recurrence; D015911:Sclerotherapy
chemical_list: D006635:Histamine H2 Antagonists; D054328:Proton Pump Inhibitors
vernacular_title: Bloedingen hoog in de tractus digestivus; een inventarisatie in de regio Amsterdam.