DOES TIMING OF DIGESTIVE ENDOSCOPY AFFECT MORBIDITY AND MORTALITY OF UPPER GASTROINTESTINAL BLEEDING IN A MALAGASY POPULATION?
Rakotondrainibe Aurelia
, Rakotomena S. Davida
, Randriamizao H.M. Richard
, Avotsihoarana T. Helianthe
, Rajaonera A. Tovohery
and Rakotoarison R. C. Nicole.
- Facult? de M?decine d?Antananarivo - Universit? d?Antananarivo, Madagascar.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Background: Gastrointestinal bleeding remains an emergency, where digestive endoscopy is unavoidable. Digestive endoscopy should be performed as soon as possible, because it can affect the morbidity and mortality of patients. The aims of this study were to assess the timing of the digestive endoscopy and its correlations with morbidity and mortality in upper gastrointestinal bleeding in a hospital in Antananarivo (Madagascar). Methods: In a five-year retrospective study (from 2010 to 2014), records of patients with upper gastrointestinal bleeding, investigated by digestive endoscopy were included. The timing of this endoscopy has been studied; as well as its correlations (Spearman\'s test) with the morbidity and mortality of digestive hemorrhages. Results: During the study, 711 cases were selected. The patients were mostly men with an average age of 48.6 ? 14.4 years old. Non variceal upper gastrointestinal bleeding represented 87.8% of the patients. The timing of upper gastrointestinal fibroscopy was 3.5?1.6 days, of which 4.6% was performed within 24 hours and 20.9% within 48 hours after admission. The lenght of stay was correlated with a delay of realization within 48 hours; the mortality decreased when this endoscopy was carried out within 24 hours. Conclusion: To follow the current recommendations on the timing of the digestive endoscopy in digestive upper gastrointestinal bleeding is essential. The goal of early delay is still difficult for Malagasy patients. Nevertheless, its realization in the 24h - 48h was significant on the duration of stay and the mortality.
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[Rakotondrainibe Aurelia, Rakotomena S. Davida, Randriamizao H.M. Richard, Avotsihoarana T. Helianthe, Rajaonera A. Tovohery and Rakotoarison R. C. Nicole. (2018); DOES TIMING OF DIGESTIVE ENDOSCOPY AFFECT MORBIDITY AND MORTALITY OF UPPER GASTROINTESTINAL BLEEDING IN A MALAGASY POPULATION? Int. J. of Adv. Res. 6 (Jan). 589-595] (ISSN 2320-5407). www.journalijar.com
