Author/Editor		Jelenc, Franc
Title		Kirurško zdravljenje krvavitev iz zgornjega dela prebavil
Translated title		Surgical treatment of upper gastrointestinal bleeding
Type		članek
Source		In: Omejc M, Repše S, editors. Zbornik simpozija Kirurgija želodca - standardi in novosti; 2005 okt 13-15; Ljubljana. Ljubljana: Klinični oddelek za abdominalno kirurgijo, Klinični center,
Publication year		2005
Volume		str. 74-84
Language		slo
Abstract		Background. Peptic ulcer disease and esophageal varices are the main causes of upper gastrointestinal bleeding. Bleeding, next to perforation, is the most serious complication of gastric and duodenal peptic ulcer disease. Successful treatment of peptic ulcer disease with H2 receptor antagonists and proton pump inhibitors has reduced the number of elective operative procedures; however, the number of elderly patients with active bleeding of peptic ulcer has increased due to concurrent use of NSAID, antithrombotic and anticoagulant drugs. In this group, the incidence of complications and the mortality rate are high. Methods. A retrospective analysis of 55 patients operated between January 2000 and December 2004 at the Department of Abdominal Surgery, University Medical Centre Ljubljana, due to upper gastrointestinal bleeding, was made. The group included patients with re-bleeding after successful endoscopic haemostasis, patients after unsuccessful endoscopic haenmostasis and patients with hemorrhagic shock. Results. 55 patients were operated, 34 men (61.8%) and 21 women (38.2%). The mean age was 63.7 years for men and 76.8 years for women (p<0.000). Attempt of endoscopic haemostasis before surgery was made in 50 patients (91%). The source of bleeding was duodenal ulcer in 29 patients, gastric ulcer in 22 patients, gastric carcinoma in 2 patients and esophageal varices in 2 patients. Bleeding from duodenal ulcer was twice as common in men as it was in women. (Abstract truncated at 2000 characters)
Descriptors		GASTROINTESTINAL HEMORRHAGE PEPTIC ULCER HEMORRHAGE ESOPHAGEAL AND GASTRIC VARICES REOPERATION RETROSPECTIVE STUDIES