The objective of the study were to:
1. determine the demographic characteristics of patients with acute upper gastrointestinal bleeding;
2. determine the associated endoscopic findings; and
3. determine the clinical outcome and its relation to age, history of previous ulcer disease and/or upper gastrointestinal bleeding, presence of comorbidity and shock.
Medical records of 66 patients diagnosed to have upper GI bleeding admitted at Jose R. Reyes Memorial Medical Center from January to December 2000 were reviewed.
The population has a mean age of 49 years, with a male preponderance of 2.5 X. Twenty-seven percent (27%) had a history of ulcer disease and/or GI bleeding. Co-existing illnesses were present in 62%. Endoscopy was performed in only 32% of cases reviewed. Gastritis was the most common finding followed by gastric ulcer, esophagitis, esophageal varices and duodenal ulcer. Shock was observed in 30%. Mortality rate was 15%.
The most common causes of upper GI bleeding in the study were gastritis, gastric ulcer, esophagitis, esophageal varices and duodenal ulcer. Mortality can be related to presence of shock and co-existing illnesses.
The importance of endoscopy for diagnosis, prognostication and management of cases of upper GI bleeding cannot be overlay emphasized in the study.