Senja Moratimur studies Medical Education, Earth Sciences, and Medicine. I’ve ever thinking about die is better than alive. A Rare Cause of Recurrent Hematemesis Melena. Griskalia Christine*, Irsan Hasan**. *Department of Internal Medicine, Faculty of Medicine, University of. TABLE HEMATEMESIS AND MELENA V Vascular I Inflammatory N Neoplasm Carcinomas of esophagus and lung D Degenerati ve and.

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Almost all patients were diagnosed with the first UGE The mepena were uncertain that the mortality reported by them might in fact be higher. The Icelandic Medicines Registry records all prescriptions issued outside of hospitals and nursing homes in Iceland and is run by the Directorate of Health in Iceland.

Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting

Nurses in the endoscopy ward interviewed the subjects thoroughly before the endoscopy regarding their history of drug use. Scandinavian Journal of Gastroenterology. Other variables noted were: Further information on endoscopic hemostasis is available in Supplementary Table II. All information on transfusions is stored in an electronic information system Prosang, Databyran, Sweden and full traceability is ensured.

Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting

Antidepressant drug prescription and risk of abnormal bleeding: Socioeconomic background has been found to be important in some studies as the most socially deprived were two times more likely than the least socially deprived to have an UGIB [ 2,4 ], which might play a part in the explanation for the varying incidence.

Click here for additional data file. A larger portion of the bleeders were using warfarin than non-bleeders. Hernia is a protsution the contents of the body usually the abdomen through a defect or the weakest part of the wall cavity concerned.


Laboratory values were collected and were as follows: Support Center Support Center. However, this limitation is ameliorated by a very thorough drug history.

The oldest person in the greater metropolitan area during hematemfsis study period was years old.

Does concurrent prescription of selective serotonin reuptake inhibitors and non-steroidal anti-inflammatory drugs substantially increase the risk of upper gastrointestinal bleeding? In all, In a stepwise multiple logistic regression with clinically significant bleeding as the dependent variable, the following variables were found to be independent predictors of clinically significant bleeding: One cause is the increase in intra-abdominal hernia such as coughing hematemesjs straining it makes hernia found in Bengkulu area.

Most case—control studies evaluating the risk of AUGIB during warfarin therapy have a cohort of individuals who have atrial fibrillation, have undergone coronary stenting or have had a heart valve replacement.

Definitions are mentioned below. This is most likely related to a decrease in the prevalence of peptic ulcer disease, due to decreased prevalence of H. The administration of blood transfusion was very similar to several other studies [ 5,8,29 ] but higher hemztemesis in some [ 11,28 ].

Eur J Gastroenterol Hepatol. The proportion of esophagitis as a cause of bleeding had a wide range of occurrence 1.

DD Hematemesis Melena

Risk of upper gastrointestinal bleeding with low-dose acetylsalicylic acid alone and in combination with clopidogrel and other medications. Meanwhile, according to gender incidence of inguinal hernia in men 25 times more common than in women. These records contained information on every prescription issued for the individuals participating in the study from 1 January until 31 December Information about the population was provided by the Office for National Statistics in Iceland [ 30 ].

Individuals who were non-residents of the greater metropolitan area were all excluded. The crude annual incidence of AUGIB is illustrated as well as age standardized incidence rates for certain age groups. This study results uematemesis not in accordance with this, but more studies are needed to show whether NSAID users are at risk of more severe GI bleeding.


Nursing care, hernia inguinalis, urinal system. This point does not apply to warfarin since the amount of DDD was obtained by serviced prescriptions and not by wholesale; 2 pharmacies in the greater metropolitan area tend to be cheaper than the ones outside it, which means that some amount of DDD might have been sold to individuals with residency outside the greater metropolitan area.

The authors alone are responsible for the content and writing of the paper.

Therefore, it cannot be ruled out that the incidence of AUGIB is in reality lower in LDA users than the authors reported and higher for warfarin users.

The authors’ methodology by which the incidence of AUGIB in drug users was obtained is not without flaws. One M77 patient with end-stage obstructive pulmonary disease had three bleeding gastric ulcers and the bleeding caused a cardiac arrest Table V. This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.

A control group of non-bleeding patients undergoing UGE during the same time period were matched 2: In a logistic regression analysis, use of the following drugs was independently related to bleeders: