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



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.

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

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