Epidemiologic study of gastrointestinal bleeding in admitted patients at Imam khomeini hospital in 2018-2019

Document Type : Original Article


1 Associate Professor of Digestive Group.Department Adult Digestive, Faculty of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Assistant Professor of Internal Medicine.Department Internal Medicine, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Assistant Professor of Statistics.Department of Biostatistics, Faculty of Health, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

4 Internal Medicine Resident.Department of Internal, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.


Background: Upper gastrointestinal bleeding (GIB) is a common cause of admissions at hospital emergency. The aim of this study was to evaluate the types of gastrointestinal ulcers and their prevalence in the hospitalized population of Imam Ahwaz Hospital from 2018 to 2019 years.

Methods: Study participants were randomly selected. After initial endoscopy, laboratory and endoscopic data were recorded.
Data were analyzed by SPSS version 20.
Results: The study included 375 patients, 76.5% of whom were male and 23.5% were female. 51 patients had no history of drug use. Among the other 324 patients, 170 had a history of aspirin use and 82 had a history of taking non-steroidal anti-inflammatory drugs, the most commonly used. flat Pigmented ulcer were the most prevalent endoscopic findings in 46.4% of the patients studied, other lesions included: 24% visible vessle, 17% oozing ulcer, 8% adherent clot, and 8% esophageal varices.

Conclusion: Given the higher prevalence of flat pigmented ulcers among patients, consideration is given to the type of treatment and the need for hospitalization or non-hospitalization in order to reduce the number of hospitalized patients. It has also been suggested that patients should not take arbitrary medications with regard to the association between drug use and gastrointestinal bleeding.


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