Description of A Court of Adult Patients with High Digestive Bleeding of Non-Variceal Origin: Clinical Study Developed at Colombia University Clinic from 2016-2019

Abstract

Patricia Olarte

Introduction and objectives: Upper gastrointestinal bleeding is considered a common emergency in gastroenterology and a large percentage corresponds to bleeding of non-variceal origin. The main objective of the study is to describe the characteristics of the patients with non-variceal bleeding admitted to the gastroenterology department of a fourth-level clinic.

Materials and Methods: A cross-sectional study was developed, which included all adult patients admitted to the Gastroenterology Unit at Colombia University Clinic between June 1, 2016 and on June 1, 2019, for endoscopic procedures aimed at analyzing upper digestive bleeding.

Results: Samples from 2.902 patients were collected, the average age being 59,68 years and the majority of participant’s women. Regarding endoscopic findings, the most prevalent were gastric ulcer (36,32%), erosive bulboduodenitis (16,51%) and duodenal ulcer (16,33%). 12,85% of the patients used NSAIDs, 10,47% used antiplatelet agents and 6,65% were on anticoagulant treatment. When comparing the different types of treatment with the endoscopic findings of this study, significant differences were found in the frequency of gastric ulcer, which was much higher in patients using NSAIDs compared to those who were not receiving NSAIDs.

Conclusions: The results of this study are similar to those reported in the literature regarding endoscopic findings and risk factors to present upper gastrointestinal bleeding of non-variceal origin.

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