Gs12p management of upper gastrointestinal haemorrhage in a district hospital.

Gs12p management of upper gastrointestinal haemorrhage in a district hospital. Research Abstract Details 

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Gs12p management of upper gastrointestinal haemorrhage in a district hospital. Abstract Text:

I Dayoub,S El-Hasani,A M Kasem,T Kamal,H Muniyra,N N Chandra,

Background This study was conducted to assess the management of acute upper gastrointestinal bleeding in a district hospital and to compare these results with national guidelines and the published literature. Materials And Methods This prospective and retrospective study included 112 patients, mean age 66 years, who presented with acute upper gastrointestinal bleeding between July 2004 and February 2005. All patients were assigned a Rockall risk assessment score. Results The surgical on-call teams managed all the patients according to an agreed protocol. 49 patients had a Rockall score > or = 4. Endoscopy was performed in all patients, with 60% accomplished within the first 24 hours. The most common cause found was peptic ulcer (30%). Therapeutic endoscopy was undertaken in 10 patients (9%) with a success rate of 70%. Open surgery was performed in 3 patients. One patient died after having surgery and the Rockall score was >5. Of the patients admitted with acute upper gastrointestinal bleeding, 90.2% were discharged without complication. 11 patients died (9.8%) and all of them from the high risk group with Rockall scores >5. Their mean hospital stay was 17.8 days (range, 2-43 days). Conclusion High-standard results in acute upper gastrointestinal bleeding can be achieved in a district hospital. The management, including the use of the operating theatre facilities with operative and anaesthetic support, was safe and efficient. A 24-hour-a-day endoscopy service is important to achieve early diagnosis and to plan management. A protocol and early endoscopy improve clinical outcome and reduce mortality, which occurred mostly among elderly patients with high risk scores. It is advisable to introduce the Rockall scoring system in practice.

Gs12p management of upper gastrointestinal haemorrhage in a district hospital. Publishing Authors By Initials

I Dayoub,S El-Hasani,AM Kasem,T Kamal,H Muniyra,NN Chandra,

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Gs12p management of upper gastrointestinal haemorrhage in a district hospital. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: ANZ journal of surgery

VOLUME: 77 Suppl 1

Page Numbers: A28

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ISSN: 1445-1433

DAY: 10

MONTH: May

YEAR: 2007

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LANGUAGE: eng

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Grant and Affiliation Information for Gs12p management of upper gastrointestinal haemorrhage in a district hospital.

AFFILIATION: Mersey Campus, North West Regional Hospital, Tasmania, Australia.

Country: Australia

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MEDLINETA: ANZ J Surg

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