Assessment of severity of upper digestive hemorrhage in hepatogastroenterology department of University Hospital Joseph Raseta Befelatanana Antananarivo

Anjaramalala Sitraka RASOLONJATOVO, Andry Lalaina Rinà RAKOTOZAFINDRABE, Tovo RABENJANAHARY, Soloniaina Hélio RAZAFIMAHEFA, Rado Manitrala RAMANAMPAMONJY

Abstract


Upper gastrointestinal bleeding is one of main digestive emergencies and remains a major cause of morbidity and mortality. Eighty percent of acute HD are of high origin.

By this work, we document the epidemiological, clinico-biological aspects of upper gastrointestinal bleeding. This is a descriptive study of patients who presented upper gastrointestinal bleeding at Hepato-gastroenterology unit of Joseph Raseta Befelatanana Antananarivo (Madagascar) University Hospital during 5 months.

During this period, 31 patients had been admitted for high gastrointestinal bleeding. The average age of patients was 49.6 years. There were more men than women. Melena was the most common manifestation (n = 21, 67.7%). Ulcerative (32.3%, n = 10).and variceal bleeding (54.8%, n = 17) were predominant.

Optimal initial management of co-morbidities and haemorrhage with early endoscopic examination may improve the prognosis of upper gastrointestinal bleeding.


Full Text:

PDF

References


Elghuel A. The characteristics of adults with upper gastrointestinal bleeding admitted to Tripoli Medical Center : a retrospective case-series analysis. Libyan J Med. 7 mars 2011 ;6.

Ouazzani N, Hanafi K, Benajah D, Aqodad N, El Abkari M, Ibrahimi A. Epidemiologic profil of upper gastrointestinal bleeding associated with anti-inflammatory drugs non-steroidal. Rev Public Health Epidemiology. 1st May 2009; 57 (Supplement 1): S46.

Hervé S. Epidemiology of upper gastrointestinal bleeding: recent aspects. Hepato-Gastro Oncol Dig. May 1, 2007; 14 (3): 205-10

Theocharis GJ, Arvaniti V, Assimakopoulos SF, Thomopoulos KC, Xourgias V, Mylonakou I, et al. Acute upper gastrointestinal bleeding in octogenarians: Clinical outcome and factors related to mortality. World J Gastroenterol WJG. 7 juill 2008;14(25):4047‑53.

Diarra M, Soucko-Diarra A, Dolo M, Traore H, Diallo A. Hémorragies digestives hautes aiguës: Expérience d’un milieu ruralAcute upper digestive bleeding: experience of a farming environment. Acta Endosc. 1 juin 2007;37(3):321.

Ntagirabiri R, Mumana A, Dunduri D, Nimburanira M, Nzojiyobiri J. Hémorragie digestive haute de l’adulte au Burundi : aspects épidémiologiques, étiologiques, thérapeutiques et évolutifsUpper gastrointestinal bleeding of adult in Burundi: epidemiological, etiological, therapeutic and evolutive aspects. J Afr Hépato- Gastroentérologie. 1 déc 2012;6(4):272‑5.

Hémorragie digestive. Anesth Réanimation. 1 oct 2016;2(5):292‑9.

Madarevues [Internet]. [cité 7 nov 2017]. Disponible sur: http://madarevues.recherches.gov.mg/spip.php?page=madarevues_article&id_article=2293

van Leerdam ME. Epidemiology of acute upper gastrointestinal bleeding. Best Pract Res Clin Gastroenterol. 2008;22(2):209‑24.

Sinegre T, Lebreton A. Hémostase et cirrhose. Rev Francoph Lab. 1 juin 2014;2014(463):65‑72.

Nomura K, Yamada S, Shimizu D, Okuda T, Kamitsuji Y, Yoshida N, et al. Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma. World J Gastroenterol WJG. 21 juill 2005;11(27):4285‑6.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Anjaramalala Sitraka RASOLONJATOVO, Andry Lalaina Rinà RAKOTOZAFINDRABE, Tovo RABENJANAHARY, Soloniaina Hélio RAZAFIMAHEFA, Rado Manitrala RAMANAMPAMONJY

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.