Thai Journal of Gastroenterology

Article :
Endoscopy for Upper Gastrointestinal Bleeding Occurring in Hospitalized Patients: Findings and Impacts on Patient Management

Author :
Chitsaeng S
Pongprasobchai S
Nimanong S
Pausawasdi N
Prachayakul V
Chainuvati S
Charatcharoenwitthaya P
Leelakusolvong S
Tanwandee T
Manatsathit S
Kachintorn U

Abstract :

Background: The role and impact of esophagogastroduodenoscopy (EGD) on upper gastrointestinal
bleeding (UGIB) occurring in hospitalized patients is unclear.
Material & Method: Consecutive inpatients with UGIB were enrolled. EGD was performed within
72 hours after onset of UGIB. Patients were classified as having clinically significant bleeding or not. Impacts of
EGD on the management of patients were assessed.
Results: Thirty patients (12 with clinically significant bleeding and 18 without) were included in the
study. Diagnosis of the bleeding cause was obtained in 100% and 72% of patients with and without clinically
significant bleeding respectively (p = 0.046). Acid-related disorders including stress-related mucosal disease (SRMD)
were the most common (57%) causes of bleeding. It causes 50% and 85% of patients with and without clinically
significant bleeding. Management were noted frequently more in patients with clinically significant bleeding than
in those without (75% vs 17%, p = 0.002), particularly regarding endoscopic therapy (67% vs 6%, p = 0.001).
Conclusion: The most common causes of UGIB in hospitalized patients were acid-related diseases
including SRMD. EGD impacted on the management mainly of the patients with clinically significant bleeding by
providing the chance for endoscopic therapy at proper timing.

Keyword :
endoscopy, upper gastrointestinal bleeding, hospitalized, management

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