Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj

Background and Aim: Upper gastrointestinal bleeding is defined as bleeding occuring from a site proximal to the ligament of Trietz, which can present as hematemesis, melena, and hematochezia. Epidemiological studies on pediatric upper gastrointestinal bleeding were limited and its accurate incidence...

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Main Authors: Pedram Ataee, Mahtab Kakaie, Borhan Moradveisi, Rasoul Nasiri, Masoumeh Abedini, Daem Roshani, Armen Malekiantaghi, Kambiz Eftekhari
Format: Article
Language:fas
Published: Kurdistan University of Medical Sciences 2022-01-01
Series:مجله علمی دانشگاه علوم پزشکی کردستان
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Online Access:http://sjku.muk.ac.ir/article-1-5993-en.html
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author Pedram Ataee
Mahtab Kakaie
Borhan Moradveisi
Rasoul Nasiri
Masoumeh Abedini
Daem Roshani
Armen Malekiantaghi
Kambiz Eftekhari
author_facet Pedram Ataee
Mahtab Kakaie
Borhan Moradveisi
Rasoul Nasiri
Masoumeh Abedini
Daem Roshani
Armen Malekiantaghi
Kambiz Eftekhari
author_sort Pedram Ataee
collection DOAJ
description Background and Aim: Upper gastrointestinal bleeding is defined as bleeding occuring from a site proximal to the ligament of Trietz, which can present as hematemesis, melena, and hematochezia. Epidemiological studies on pediatric upper gastrointestinal bleeding were limited and its accurate incidence is not clear. This study deals with epidemiological investigation of upper gastrointestinal bleeding in hospitalized children. Materials and Methods: This was a cross-sectional-descriptive retrospective study. Medical records of the children under 14 years of age who had been hospitalized in Besat Hospital in Sanandaj for upper gastrointestinal bleeding over the past seven years (2011-2017) were reviewed. Demographic data and endoscopic results obtained from the medical records were recorded in the questionnaires. Using SPSS 20 software, statistical analysis was performed. Results: Our study included 121 medical records. 64.5% of the patients were male. The mean age of the children was 5.66 years and the duration of hospitalization was 3.13 days. Among the patients, 77% were urban dwellers, 95% presented with hematemesis. 8.3% were treated with mechanical ventilation, and 5.8% had coagulation disorders. Endoscopic results showed that 45.5% of the children had prolapse gastropathy and 15.7% had Mallory Weiss syndrome. Conclusion: According to our results, the most common manifestation of upper gastrointestinal bleeding in children was hematemesis and the most common cause of it was prolapse gastropathy.
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spelling doaj.art-a68040d9905a48e7b0760a7614b69e3f2022-12-22T00:31:02ZfasKurdistan University of Medical Sciencesمجله علمی دانشگاه علوم پزشکی کردستان1560-652X2345-40402022-01-012674552Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in SanandajPedram Ataee0Mahtab Kakaie1Borhan Moradveisi2Rasoul Nasiri3Masoumeh Abedini4Daem Roshani5Armen Malekiantaghi6Kambiz Eftekhari7 Assistant professor, Department of Pediatric, Liver and Digestive Research center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. General Practitioner, Department of Pediatric, Kurdistan University of Medical Sciences, Sanandaj, Iran. Assistant professor, Department of pediatric, Kurdistan University of Medical Sciences, Sanandaj, Iran Assistant professor, Department of Pediatric, Lung Disease and Allergy Research centre, Cellular and Molecular Research center, Kurdistan University of Medical Sciences, Sanandaj, Iran Assistant professor, Pediatric department, Kurdistan University of Medical Sciences, Sanandaj, Iran. Associate professor, Department of Statistics and Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran Assistant professor, Department of Pediatric, Tehran University of Medical Sciences, Tehran, Iran. 8. Associate professor, Department of Pediatric, Pediatric Gastroenterology and Hepatology Research Center, Tehran University of Medical Sciences, Tehran, Iran. Background and Aim: Upper gastrointestinal bleeding is defined as bleeding occuring from a site proximal to the ligament of Trietz, which can present as hematemesis, melena, and hematochezia. Epidemiological studies on pediatric upper gastrointestinal bleeding were limited and its accurate incidence is not clear. This study deals with epidemiological investigation of upper gastrointestinal bleeding in hospitalized children. Materials and Methods: This was a cross-sectional-descriptive retrospective study. Medical records of the children under 14 years of age who had been hospitalized in Besat Hospital in Sanandaj for upper gastrointestinal bleeding over the past seven years (2011-2017) were reviewed. Demographic data and endoscopic results obtained from the medical records were recorded in the questionnaires. Using SPSS 20 software, statistical analysis was performed. Results: Our study included 121 medical records. 64.5% of the patients were male. The mean age of the children was 5.66 years and the duration of hospitalization was 3.13 days. Among the patients, 77% were urban dwellers, 95% presented with hematemesis. 8.3% were treated with mechanical ventilation, and 5.8% had coagulation disorders. Endoscopic results showed that 45.5% of the children had prolapse gastropathy and 15.7% had Mallory Weiss syndrome. Conclusion: According to our results, the most common manifestation of upper gastrointestinal bleeding in children was hematemesis and the most common cause of it was prolapse gastropathy.http://sjku.muk.ac.ir/article-1-5993-en.htmlupper gastrointestinal bleedingchildrenepidemiologyprolapse gastropathymallory weiss
spellingShingle Pedram Ataee
Mahtab Kakaie
Borhan Moradveisi
Rasoul Nasiri
Masoumeh Abedini
Daem Roshani
Armen Malekiantaghi
Kambiz Eftekhari
Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj
مجله علمی دانشگاه علوم پزشکی کردستان
upper gastrointestinal bleeding
children
epidemiology
prolapse gastropathy
mallory weiss
title Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj
title_full Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj
title_fullStr Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj
title_full_unstemmed Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj
title_short Etiology of Upper Gastrointestinal Bleeding in the Children Admitted to Besat Hospital in Sanandaj
title_sort etiology of upper gastrointestinal bleeding in the children admitted to besat hospital in sanandaj
topic upper gastrointestinal bleeding
children
epidemiology
prolapse gastropathy
mallory weiss
url http://sjku.muk.ac.ir/article-1-5993-en.html
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