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An audit of upper gastrointestinal bleeding at Seremban Hospital
T M Lim1, P Y Lu, S Meheshinder
1Department of Surgery, Hospital Seremban, & International Medical University, Jalan Rasah, 70300 Seremban.
Insights
This study on upper gastrointestinal bleeding found gastric and duodenal ulcers were most common. Elderly males, particularly of Chinese ethnicity, faced the highest risk.
Area of Science:
- Gastroenterology
- Internal Medicine
- Epidemiology
Background:
- Upper gastrointestinal bleeding (UGIB) is a significant clinical concern.
- Oesophagogastroduodenoscopies (OGD) are crucial diagnostic tools for UGIB.
Purpose of the Study:
- To analyze patient demographics and common etiologies of UGIB.
- To identify risk factors associated with UGIB in a specific hospital population.
Main Methods:
- Retrospective analysis of patients with UGIB over a one-year period.
- Review of diagnostic findings from oesophagogastroduodenoscopies (OGD).
Main Results:
- Gastric ulcers and duodenal ulcers were the most frequent diagnoses.
- A male-to-female ratio of 2:1 was observed.
- The Chinese ethnic group and individuals over 60 years old showed higher incidence.
Conclusions:
- UGIB exhibits a male preponderance and affects the elderly disproportionately.
- Gastric and duodenal ulcers are primary causes of UGIB in this demographic.
- Ethnic background may influence UGIB risk.
Abstract:
We retrospectively analyzed all patients presenting with upper gastrointestinal bleeding to Seremban Hospital over a one-year period. A quarter of the oesophagogastro-duodenoscopies (OGD) performed were performed as emergency for upper gastrointestinal tract bleeding. Gastric ulcers and duodenal ulcers were the two most common findings. Our results suggest that there is a male preponderance of 2:1, the Chinese were more likely to be affected and the elderly (> 60 years) were at highest risk.
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