Quarterly scientific journal

Emergency endoscopies in patients with gastrointestinal bleeding

Eleni Keimali , Olga Kadda , Georgios Vasilopoulos , Georgia Chasioti , Edison Jahaj , Aikaterini Marvaki , Nikolaos Raptis

Abstract

Emergency endoscopy is the epitome of the advanced treatment of acute gastrointestinal haemorrhage. Aim: The aim of the present study was to estimate and record the laboratory values and endoscopic findings in patients with acute gastrointestinal haemorrhage, who treated with emergency endoscopy, and their outcome. Material and Method: The studied sample consisted of 302 patients. For data collection especial form was used which was model on the needs of the study. Statistical analysis was performed by using the statistical package SPSS ver.20. Results: 60.6% (n=183) of the studied sample were men with mean age 62.6±15 years. Upper gastrointestinal disease was found in 69.9% (n=211) of the sample, while 30.1% (n=91) involved in the lower gastrointestinal. Moreover, it was revealed that 7.6% (n=23) of the total sample had no evidence of bleeding. The mean length of stay in hospital was 4.3 ± 4 days. Through multiple linear regression analysis, it was explored the effect of various factors, including: gender, laser treatment, polyp resection, embolization, the use of coffee, tobacco and alcohol, hematocrit and hemoglobin levels in patient outcomes (hospital discharge-death). It appears that patients to whom laser therapy was applied had higher survival rate (OR: 1.69 p = 0.010). Conclusions: The conclusion from this study was that the application of emergency endoscopy reduces the length of stay in hospital, the percentage of cases that led to operation room and improveς patients’ outcome

Keywords: Emergency endoscopy, gastrointestinal haemorrhage, outcome, treatment

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