[Upper digestive tract hemorrhage; an assessment in the Amsterdam region].
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.
Vreeburg
E M
EM
Academisch Medisch Centrum, afd. Maag-darm-leverziekten, Amsterdam.
de Bruijne
J W
JW
Bartelsman
J W
JW
Wesdorp
I C
IC
Snel
P
P
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
D006635:Histamine H2 Antagonists; D054328:Proton Pump Inhibitors
Bloedingen hoog in de tractus digestivus; een inventarisatie in de regio Amsterdam.