Avtor/Urednik		Skok, Pavel
Naslov		Krvavitve iz zgornjih prebavil - analiza vzrokov v triletnem obdobju
Prevedeni naslov		Upper gastrointestinal hemorrhage - an analysis of its causes in a 3-year period
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 66, št. 11
Leto izdaje		1997
Obseg		str. 575-8
Jezik		slo
Abstrakt		Background. Gastrointestinal hemorrhage is a frequent medical problem and a significant cause of morbidity and mortality. The aim of the study carried out at our institution was to establish the causes of hoemorrgage from the upper digestive tract in a 3-year period. Patients and methods. The retrospective study includes those patients in which urgent endoscopic investigations of the upper digestive tract were carried out between 1 January 1994 and 31 December 1996. Results. 2150 patients were investigated: 797 women and 1353 men. The average age of our patients was 57 years (a 3-97 year span, SD+-17). In 665 patients (31%), endoscopic examination revealed signs of acute hemorrhage or traces of previous hemorrhage in the upper digestive tube. Endoscopic hemostasis was carried out in 577 cases (27%). Complicatons of ulcer disease were the cause of hemorrhage in 41.2% of investigated patients. Frequent cause of hemorrhage were also hemorrhagic, inflammatory erosive changes of the gastric and duodenal mucosa - in 19%, ruptured esophageal varices - in 8.1%, and esophageal reflux disease - in 6.9%. In 13.7% of patients the cause of hemorrhage did not lie in the upper digestive tract. In 50.3% of cases the gastrointestinal hemorrhage manifested itself bu the discharge of melenic feces, in 33.1% by hematemesis. 47.2% of our patients were aged over 60. Conclusions. Also in our society complications of ulcer disease are the most significant cause of gastrointestinal hemorrhage. Hemorrhages are frequent in elderly patients who usually have accompanying diseases.
Izvleček		Izhodišča. Krvavitev iz prebavil je pogost zdravstveni problem v svetu in pomemben vzrok obolevnosti in smrtnosti. Namen retrospektivne študije je ugotoviti vzroke krvavitve iz zgornjih prebavil v triletnem obdobju v naši ustanovi. Bolniki in metode. Retrospektivna študija zajema bolnike, pri katerih smo v obdobju od 1. januarja 1994 do 31. decembra 1996 opravili urgentne endoskopske preiskave zgornjih prebavil. Rezultati. Pregledali smo 2150 bolnikov: 797 žensk in 1353 moških. Povprečna starost bilnikov je bila 57 let (v razponu od 3 do 97 let, SD+-17). Pri 665 bolnikih (31%) so bili ob endoskopski preiskavi prisotni znaki akutne krvavitve ali sledovi pretekle krvavitve v zgornji prebavni cevi. Endoskopsko hemostazo smo opravili pri 577 bolnikov (27%). Ulkusna bolezen je bila pri 41.2% preiskovancev vzrok krvavitev. Med pogostimi vzroki krvavitve so bile še hemoragične, vnetno-erozivne spremembe sluznice želodca in dvanajstnika (19%). Pri 13.7% bolnikov vzrok krvavitve ni bil v zgornji prebavni cevi. Krvavitev v prebavno cev se je pri 50.3% preiskovancev izrazila z odvajanjem črnega, smolnatega blata, pri 33.1% pa z bruhanjem krvi. 47.2% preiskovancev je bilo starejših od 60 let. Zaključki. Ulkusna bolezen je tudi v našem okolju najpogostejši vzrok krvavitve iz prebavne cevi. Krvavitve so pogoste pri starejših bolnikih, ki imajo običajno tudi druge bolezni.
Deskriptorji		GASTROINTESTINAL HEMORRHAGE PEPTIC ULCER