A total of 356 patients of gastrointestinal bleeding who had been admitted to the Hangang Sacred heart Hospital for five years from January, 1986 to December, 1990 was clinically revlewed and the following results were obtained.
1) The incidence of upper gastrointestinal bleeding was 1.8% of all patients admitted to our hospital.
2) The causative disease of the upper gastrointestinal bleeding were gastric ulcer930.3%), esophageal varix(29.5%), duodenal ulcer(23.0%), Mallory Weiss syndrome(10.9%), hemorrhagic gastritis(5.3%), stomach cancer(0.8%).
3) The age and sex incidence of gastrointestinal bleeding breeding revealed greater in male94.6 : 1) and fourth decade927.8%) and the higher mortality rate was in seventh decades(28.6%).
4) The seasonal distribution showed the peak incidence in autumn with 30.3% and the least with 19.4% in summer.
5) Two hundred and two patients(66.0%) were with the single episode bleeding, 67 cases(21.9%) with two episodes, 21 cases(6.9%) three episodes, 16 cases95.2%0 with four or more episodes. Increased mortality was related to frequency of upper
gastrointestinal bleeding.
6) On admission 80 cases(22.5%) had massive bleeding with hemoglobin level below 7.0m%, moderate bleeding between 7.0~10gm% in 151 cases(42.4%) and mild blleeding(Hb>10.0 gm%) in 125 cases(35.1%). The mortality was increased with the amount of
blood
loss.
7) The amount of blood transfusion was as follows' 241 cases(67.7%) below 5pints, 63 cases (17.7%0 with 6-10 pints, 31 cases(8.7%) with 1-5 pints, 16 cases94.5%) with 16-20 pints and 5 cases (1.4%0 with over 21 pints, and the mortality was
increased
with the amount of transfusion.
8) Endoscopy was performed in 259 cases(72.7%0 with diagnostic accuracy of 92.7% and UGI series were performed on 162 cases(45.5%) with 76.0%.
9) Hematemesis and melena were present in 168 cases947.2%0 and tachycardia in 143 cases (40.2%), hypotension in 94 cases926.3%0.
10) Most common site of bleeding in gastric ulcer patients was fundus in 55 cases(50.9%) and in duodenal ulcer was bulb in 78 cases(95.1%).
11) Conservative treatment was performed in 328 cases(92.1%) and 23 cases(7.0%) died and surgical treatment was performed in 28 cases97.9%) and 2 cases97.1%) died.
12) Postoperative complication were 11 cases(39.3%); wound infection 6 cases(21.4%), pulmonary complication 2 cases(7.1%) and rebleeding, wound dehiscence, renal failure 1 cases93.6%0 respectively.
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