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Upper Gastrointestinal Bleeding in Chronic Kidney Disease Patients

D Marinescu1, M Lazar2, S Zaharie3

  • 1University of Medicine and Pharmacy of Craiova.

Current Health Sciences Journal
|December 25, 2018
PubMed

Insights

Patients with chronic kidney disease (CKD) face a high risk of upper gastrointestinal bleeding. However, conservative treatments are highly effective, often negating the need for invasive procedures.

Area of Science:

  • Nephrology
  • Gastroenterology

Background:

  • Chronic kidney disease (CKD) patients exhibit a heightened risk for upper gastrointestinal (GI) bleeding compared to the general population.
  • Comorbidities, particularly cardiovascular diseases, are prevalent among CKD patients experiencing GI bleeding.

Observation:

  • A study reviewed 30 CKD patients with upper GI bleeding over five years.
  • The majority of patients (53.3%) were on hemodialysis; none were on peritoneal dialysis.
  • A low percentage (10%) were on oral anticoagulant therapy before the bleeding event.

Findings:

  • Conservative management proved successful for all patients.
  • No cases required endoscopic or surgical intervention for hemostasis.

Implications:

  • Conservative treatment strategies demonstrate high efficacy in managing upper GI bleeding in CKD patients.
  • These findings suggest a potential shift in management protocols, prioritizing conservative measures.

Keywords:
chronic kidney diseasehemodialysisupper GI bleeding

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