title: Bleeding duodenal ulcer in patients admitted to Erbil city hospital, Iraq: 1996-2004.
abstract: The frequency of bleeding duodenal ulcer was assessed in patients admitted with upper gastrointestinal bleeding to Erbil City hospital from the Emergency Department during 1996-2004. Of 740 such patients, 556 (75.1%) were diagnosed with bleeding duodenal ulcer: 312 (56.1%) were managed conservatively while 238 (42.8%) underwent surgery. Overall mortality over the 9 years was 4.7%. Over the 3 consecutive 3-year periods, mortality fell from 7.1% in the first 3 years to 2.2% in the final 3 years. Overall mortality among the 238 patients treated surgically was 8.4%. This fell from 13.3% in 1996-98 to 3.1% in 2002-04. Mortality in the conservatively managed patients was 1.9%.
authors.affiliation: College of Medicine, University of Salahaddin, Erbil City, Iraq. draqzangana@yahoo.com
authors.forename: A M
authors.initials: AM
authors.lastname: Zangana
mesh_terms: D017677:Age Distribution; D001803:Blood Transfusion / Q000639:trends; D015984:Causality; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D004384:Duodenoscopy; D004630:Emergencies / Q000453:epidemiology; D004636:Emergency Service, Hospital / Q000639:trends; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006786:Hospitals, Urban / Q000639:trends*; D006801:Humans; D007493:Iraq / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000639:trends*; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D011159:Population Surveillance; D012008:Recurrence; D012151:Resuscitation; D017678:Sex Distribution; D016896:Treatment Outcome