Özet:

Introduction and Purpose: Our study in our clinic in the last 1 year has been aimed at the study of cases of ozofagastroduodenoscopy with the diagnosis of non-varial upper gastrointestinal system bleeding, compared to the data from 1993 and 2008. Method and method: S.B. In the Gastroenterology Clinic of the Deep Education and Research Hospital in the last 1 year, all patients diagnosed with an out-of-varic upper gastrointestinal system bleeding with ozofagogastroduodenoscopy, are scaned retrospectively. The demographic data, comorbidities and results of the ozofagastroduodenoscopy of a total of 160 patients identified have been analyzed. The results were compared with the 1993 and 2008 data obtained in the same region. Results: The male and female ratio is 2:1, the average age is 59.8. The most common gastritis is the second epithelial ulcer. It was seen in the bulb. In bulb ulcers, active bleeding is more common than antruma. According to the 1993 and 2008 data, the average age and the proportion of women are increasing. Duodenal and gastrointestinal ulcers decrease significantly while the rate of gastritis increases. The outcome: Non-varial upper gastrointestinal system bleeding is more common in men and older. Due to the increased lifetime in the last 25 years and the increase in the success of Helicobacter pylori treatment, the average age of patients increases, the incidence of ulcers decreases. Thanks to current treatment approaches, the mortality rates associated with gastrointestinal system bleeding can be reduced.

Anahtar Kelimeler:

Özet:

Background and Aims: In our study, we aimed to investigate patients with nonvariceal upper gastrointestinal system bleeding who underwent esophagogastroduodenoscopy within the past one year and compared them against cases from the year 1993 and 2008. Materials and Methods: All patients diagnosed with nonvariceal upper gastrointestinal system bleeding who underwent esophagogastroduodenoscopy in the Gastroenterology Clinic of S.B.U. Derince Training and Research Hospital in the last one year were retrospectively reviewed. Demographic data, comorbidities, and esophagogastroduodenoscopy results of 160 patients were analyzed. The results were compared with data from 1993 and 2008. Results: In our patient cohort, the male:female ratio was 2:1 and the mean age was 59.8 years. The most common cause of bleeding was gastritis, followed by peptic ulcers. Ulcers were most commonly seen in the bulbus region. The presence of active bleeding was more common in bulbus ulcers compared to the antrum. The mean age and the proportion of women in our patient cohort were higher than in the 1993 and 2008 data. Additionally, duodenal and gastric ulcers were significantly reduced, while gastritis increased in patients from the last year as compared with those in 1993 and 2008. Conclusion: Nonvariceal upper gastrointestinal bleeding is more common in males and in older patients. The mean age of the patients increased and the frequency of ulcers decreased owing to the increase in life expectancy and success of Helicobacter pylori treatment over the past 25 years. Due to current treatment approaches, mortality rates associated with gastrointestinal system bleeding can be reduced.