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[Upper gastrointestinal bleeding in Cuzco: two years experience]
Summary
This study analyzed upper gastrointestinal bleeding (UGB) cases in Cuzco, Peru. Duodenal ulcers were the most common cause, with a significant mortality rate observed.
Area of Science:
- Gastroenterology
- Internal Medicine
- Clinical Epidemiology
Background:
- Upper gastrointestinal bleeding (UGB) is a significant clinical concern.
- Understanding the epidemiology and causes of UGB is crucial for effective management.
Purpose of the Study:
- To present the experience and findings related to upper gastrointestinal bleeding (UGB) at a regional hospital in Cuzco, Peru.
- To analyze the causes, patient demographics, and outcomes of UGB cases.
Main Methods:
- Retrospective analysis of hospital admissions related to UGB.
- Data collected from December 1987 to November 1989.
- Inclusion of patient demographics, bleeding causes, interventions, and mortality.
Main Results:
- 159 UGB admissions (2.9% of total) occurred in 140 patients.
- Mean age was 51.6 years; 57.9% were over 50; male/female ratio was 6:1.
- Duodenal ulcer (30%) was the leading cause, followed by acute mucosal lesions (24.3%) and gastric ulcer (16.4%).
- 6.4% required surgery, 30% needed blood transfusion, and overall mortality was 9.3%.
Conclusions:
- Duodenal ulcers are a primary cause of UGB in this population.
- Gastric ulcers presented with a relatively high frequency as a bleeding source.
- The study highlights the significant morbidity and mortality associated with UGB, necessitating continued clinical attention.