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Acute upper gastro-intestinal bleeding in morocco: what have changed?
A Timraz1, W Khannoussi, F Z Ajana
1Medical Unit C, Ibn Sina Hospital, Rabat, Morocco.
ISRN Gastroenterology
|October 13, 2011
Summary
Acute upper gastro-intestinal bleeding (AUGIB) remains a significant health concern. Nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin are identified as primary risk factors for peptic ulcers causing AUGIB.
Area of Science:
- Gastroenterology
- Epidemiology
- Internal Medicine
Background:
- Acute upper gastro-intestinal bleeding (AUGIB) is a common and potentially life-threatening condition.
- Understanding its epidemiological, clinical, and etiological patterns is crucial for effective management.
Purpose of the Study:
- To investigate the epidemiological, clinical, and etiological characteristics of AUGIB.
- To identify key risk factors and common causes of AUGIB in a Moroccan population.
Main Methods:
- Retrospective study conducted from January 2003 to December 2008.
- Inclusion of all patients with AUGIB undergoing urgent gastro-intestinal endoscopy.
- Data collection on patient demographics, medical history, symptoms, clinical findings, and endoscopic results.
Main Results:
- 1389 cases of AUGIB were analyzed.
- Males constituted 66% of patients, with a mean age of 49 years.
- Gastroduodenal ulcer (38%) and gastritis/duodenitis (32.5%) were the leading causes, with NSAID and aspirin use reported in 26% of patients.
Conclusions:
- AUGIB remains a frequent and serious pathology.
- NSAIDs and aspirin are confirmed as major risk factors contributing to peptic ulcer disease.
- The impact of these agents on peptic ulcers appears stable in the studied region.
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