[The influence of risk factors in recurrent peptic ulcer haemorrhage].
Gastrointestinal hemorrhage is one of the most frequent complications that occurs in 15 20% patients with peptic ulcer disease. Recurrent ulcer haemorrhage presents in the first 72 hours after initial bleeding: they are the most im portant cause of death. The aim of our study was to show the possibility of ulcer recurrent haemorrhage combined with risk factors: age 60, high risk lesion (active arterial bleeding, visible blood vessel, adherent coagulum), the size, ulcer base and localization (posterior duodenal wall. lesser curvature or high gastric ulcer), commorbidities ( cardiovascular and liver diseases) and haemodynamic instabilities. The combination of these risk-factor, unproportionally increases the risk: presence of two risk factors gives the possibility of recurrent bleeding of 16.67%, three risk factors 58.82%, four 93.33%, while the presence of five risk factors shows 100% posibility. Probability of death is 8.27 times greater if ulcer haemorrhage occurs.
Lausaević
D
D
Centar za urgentnu hirurgiju, Urgentni centar, KCS.
Resanović
V R
VR
Pesko
P P
PP
Krstić
S N
SN
Gvozdenović
M S
MS
D000368:Aged; D006801:Humans; D008875:Middle Aged; D010437:Peptic Ulcer / Q000473:pathology / Q000628:therapy; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology*; D012008:Recurrence; D012307:Risk Factors