[Aute upper gastrointestinal bleeding--erosive gastropathy].
OBJECTIVE
Acute upper gastrointestinal bleeding is the commonest emergency managed by gastroenterologist. Our aim was to assess the frequency of erosive gastropathy as a cause of upper GI bleeding as well as its relation to age. gender and known risk factors.


METHODS
We conducted retrospective observational analysis of emergency endoscopy reports from the files of Emergency Department of Clinic of Gastroenterology and Hepatology, Clinical Center of Serbia, during the period from 2000-2005. Data consisted of patients' demographics, endoscopic findings and potential risk factors.


RESULTS
During the period 2000-2005. Three thousand-nine hundred and fifty four emergency tipper endoscopies were performed for acute bleeding. In one quarter of cases acute gastric erosions were the actual cause of bleeding. One half of them were associated with excessive consumption of salicilates and NSAIDs. In most of the examined cases bleeding stopped spontaneously, while in 7.6%) of the cases required endoscopic intervention.


CONCLUSIONS
Erosive gastropathy represents significant cause of upper gastrointestinal bleeding count up to one quarter of all cases required emergency endoscopy during the 5-year period. Consumption of NSAIDs and salicilates was associated with erosive gastropathy in almost one half of cases (46%) leading us with a conclusion that we must explore other causes of erosive gastropathy more thoroughly.
Jovanović
I R
IR
Klinika za gastroenterologiju i hepatologiju, KCS, Beograd.
Popović
D
D
Djuranović
S
S
Pavlović
A
A
Mijalković
N
N
Culafić
D J
DJ
Krstić
M
M
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000209:etiology; D013276:Stomach Ulcer / Q000150:complications / Q000175:diagnosis* / Q000209:etiology