%0 Journal Article
%T Acute Upper Digestive Bleedings in Hospital in Bamako
%A MY Dicko
%A Doumbia K. Wife Samake
%A Sow H. Wife Coulibaly
%A G. Soumar¨¦
%A MS Tounkara
%A D. Katil¨¦
%A O. Mall¨¦
%A H. Guindo
%A Sanogo SD. Wife Sidib¨¦
%A A. Maiga
%A A. Konate
%A MT Diarra
%A MY Maiga
%J Open Journal of Gastroenterology
%P 387-393
%@ 2163-9469
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojgas.2018.811040
%X The main objective of this work was to update the data on the epidemiological, clinical, etiological and prognostic aspects of these acute upper digestive hemorrhages. It was a prospective study for a period of 11 months (from March 2013 to January 2014) at the digestive endoscopy center of Gabriel Tour¨¦ University Hospital in Bamako. At the end of this study, 63 patients had acute upper digestive bleeding (AUDB) among 954 hospitalized patients, that is to say a frequency of 6.7%. The sex ratio was 3.5. The average age of our patients was 45 ˇŔ 16.57 years with extremes of 15 and 84 years. A notion of smoking, epigastralgia and none steroid anti-inflammatory drugs (NSAIDs) were more reported in the history with respectively 14 patients (22.3%), 10 patients (15.9%) and 4 patients (6.3%), but haematemesis had occurred in 24 (38.1%) patients without any antecedent. The main causes of hemorrhage were rupture of oesophageal varices in 34 (57.6%) patients and peptic ulcers in 18 (30.5%) patients. Early recurrence occurred in 7 (11.1%) patients resulting in the death of 5 patients for an overall mortality of 9 patients among 63 (14.3%). Acute high digestive hemorrhages are always serious. The correct management of the hemorrhagic episode by haemostatic gestures when available and the causes of haemorrhage improve the prognosis.
%K Upper Digestive Bleeding
%K Etiology
%K Evolution
%K CHU Gabriel Tour&#233
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=88302