Etiology of upper gastrointestinal bleeding in young children.
OBJECTIVE
Evaluation of children younger than two years old admitted to a pediatric emergency department with upper gastrointestinal bleeding.


METHODS
Thirty four (34) children aged < 2 years with upper gastrointestinal bleeding were studied. The demographic features, etiologies, laboratory and endoscopic findings and treatment procedures were evaluated retrospectively.


RESULTS
The study consisted of 34 patients (73.5 % male, 26.5 % female) with a median age 12.3 months (1.5-24 months). 30 patients (88 %) had an underlying disease. 21 patients (56 %) had a history of aspirin or nonsteroidal anti-inflammatory drugs intake. Endoscopic findings were pathological in 85% of patients.


CONCLUSIONS
The incidence of upper gastrointestinal bleeding in children aged < 2 years due to antipyretics must be taken into consideration although most of them may also have an underlying disease.
Kalyoncu
Derya
D
Sisli Etfal Training and Research Hospital, Pediatrics, Istanbul, Turkey. deryakaly@yahoo.com
Urganci
Nafiye
N
Cetinkaya
Feyzullah
F
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D001241:Aspirin / Q000008:administration & dosage; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors
D000894:Anti-Inflammatory Agents, Non-Steroidal; D001241:Aspirin