ABSTRACT

In this study, we aimed to investigate the etiologies ofupper GIS bleedings related to demographical features of our patients.

Two hundred and thirty fo ur patient (155 mal e and 79 female) records from January 2000 to December 2001 were reviewed from patıents who had a history ofupper GIS bleeding. The demographica/features and medications of patients, diseases which can predispose to bleeding and other factors were evaluated. Gastroscopy reports of 109 patients were evaluated who were performed gastroscopy white they were under investigation.

The patients w ere 65,4% ma le, 34,6% fe mal e and the age of patients in that was observed the greatest frequency was from 50 to 69 years old. Most of the patients w ere from the Marmara regıon. The frequency of hospital admissions were increased in autumn and spring seasons. Of the patient records examined, 13,2% had diabetes mellitus, 16,2% hypertension, 13,2% heart failure and 16,2% chronic renal failure as additional disease s. NSAIDs were the leading cause of GIS bleedings wıth the rate of 26%. The patients had 28,7%former GIS bleeding and 6,8% GIS operation history. During the hospitalization period, 109 patients were performed gastroscopy and 31,4% peptic ulcer and 28,4% gastrıc erosion were reported.

We fo und out that the mean age of o ur patients was tower than the one s in the western countries. Aspirin, NSAIDs and addirional diseases were the most important predispositıonfactors to GIS bleeding. Peptic ulcer and erosive mucosallesions were the most important bleeding causes.