One hundred and twenty six cases of upper gastrointestinal bleeding admitted to the dept, of internal medicine of Chosun University Hospital from Jan. 1.981 to Dec. 1982 were observed statisticaiy on some clinical aspects.
The results obtained are as follows:
1. Causative diseases producing upper gastrointestinal bleeding were in the following order of frequency Peptic ulcer (37.3%), hemorrhagic gastritis (26.2%), esophageal varix rupture (15.1%) gastric cancer (15.1%). The incidence of upper gastrointestinal blecding of unknown origin was 11.1%.
2. The sex incidence of upper gastrointestinal bleeding reveal a greater prevalence in male with a ratio of 2.3 : 1 and peak incidence was in the 6th decade. The seasonal distribution showed a peak of 39.7% in the summer and was least.with 19.7% , in the winter.
3. Hematemesis only was noted in 35 cases (27.8%), and melena only in 39 cases(30.9%), while hematemesis and melena were seen in 52 cases (41. 3%).
4. Incidence of associated diseases was found in 37 cases (29.4%)of the total 126 cases and 48.6% of them were in the peptic ulcer cases. The most, common associated discas was pulmonary tuberculoss (24.3%).
5. Among the 126 cases, massive bleeding was observed in 23.0%, moderated bleeding in 35.7% and mild bleeding in 41.3% by plaumbo´s criteria.
6. 41 of the patients had possible precipitating factors of upper gas trointestinal bleeding and alcohol was the most common precipitating factor.
7. The diagnostic accuracy between gastroscopy and the U.G.I. series `was compared : 88.2% in gastric cancer vere confirmed by gastroscopy, whereas 80% in gastric ulcer, 73.7% in duodenal ulcer, 44.4% gastritis,88.2% in gastric cancer were detected by the U.G.I. series.
8. Among the 126 cases, 93cases (73.8) were treated conseratively and 33 cases (26.2%) received operations. Eight patients died.
9. The overall mortality rate was 6.3% (8 cases). The main causes of death were uncontrollable bleeding, hepatic coma, and acute renal failure.
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