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Determinants and Outcome of Acute Upper Gastrointestinal Bleeding in Yemen | OMICS International | Abstract
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

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Research Article

Determinants and Outcome of Acute Upper Gastrointestinal Bleeding in Yemen

Mohammed Haidar Hazaa Hassan Al-Dholea1, Abdul Salam Mohammed Mohsen Mohammed Al-Makdad2, Mohammed Ahmed Mohammed Al-Haimi3, Mahmoud Taha Ahmed Makky4, Omar Salem Abdellah hassan Balfaqih5, Waled Amen Mohammed Ahmed6* and Abdalkhaliq ahmed obadi7

1Department of Internal Medicine, Thamar University, Vice Dean of Hospital Affairs, Arabic and Iraqi Board in Internal Medicine- Iraq, Director of Al-Wehdah Teaching Hospital, Yemen, Saudi Arabia

2Department of Endemic and Infectious Disease- Faculty of Medicine, Thamar University, Head of Internal Medicine Department, Al-Wehdah Teaching Hospital, Yemen, Saudi Arabia

3Department of Gastroenterology, Faculty of Medicine, Sanaa University, Vice Dean of Post Graduate Affairs, Yemen, Saudi Arabia

4Department of Community Medicine, General director of Al-Ahli Specialized Hospital, Sana'a, Yemen. Assistant Professor of Surgery- Faculty of Medicine, Aden University, Yemen, Saudi Arabia

5Department of Internal Medicine, Faculty of Medicine Thamar University, Yemen, Saudi Arabia

6Department of Community Health Nursing, Albaha University, Faculty of Applied Medical Sciences, Nursing Department, Kingdom of Saudi Arabia, Saudi Arabia

7Department of Community Medicine, Vice, General Director of Al-Ahli Specialized Hospital, Sana'a, Yemen, Saudi Arabia

*Corresponding Author:
Waled Amen Mohammed Ahmed
Albaha University, Saudi Arabia
Tel: 00966508245369
E-mail: [email protected]

Received date: September 09, 2014; Accepted date: October 29, 2014; Published date: November 05, 2014

Citation: Al-Dholea MHHH, Al-Makdad ASMMM, Al-Haimi MAM, Ahmed Makky MT, Abdellah hassan Balfaqih OS, et al. (2014) Determinants and Outcome of Acute Upper Gastrointestinal Bleeding in Yemen. J Gastrointest Dig Syst 4:235. doi:10.4172/2161-069X.1000235

Copyright: © 2014 Al-Dholea MHHH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Upper gastrointestinal bleeding is a major medical emergency and one of the most important indications for hospital admissions. The etiology varies in different parts of the world.

Objectives: The study aimed to determine the occurrence, the risk factors and outcome of acute upper gastrointestinal tract bleeding in Yemen.

Materials and Methods: This is a retrospective study. The medical records of all patients in four Yemeni hospitals within the last 4 years were reviewed, 18 years of age and older, admitted with upper gastrointestinal bleeding as indicated by coffee ground material or bright red blood in gastric aspirates or black, tarry stools in addition to demographic data.

Results: There were 350 cases of acute upper gastrointestinal bleeding admitted to the four hospitals within the last 4 years. The commonest causes of upper gastrointestinal bleeding in Yemen were oesophageal varices [90%], erosive gastritis [3.43%] and peptic ulcers 6% [DU: 3.43%, GU: 2.57%] ; Duodenal ulcers, gastric ulcers and malignancy were not so common causes of acute upper GIT bleeding in comparison with oesophageal varices. Patients with variceal bleeding were younger and had a higher mortality rate than non-variceal bleeders.

Conclusion: The rate of upper GI bleeding in Yemeni patients is common with many significant causes. The most common causes were esophageal varices, peptic ulcer disease, gastric cancer and erosive gastritis.

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