Survey of the treament of upper gastrointestinal bleeding due to a peptid ulcer at Gia Dinh Hospital

Abstract

     Gastrointestinal bleeding (GB) is a common problem encountered in the emergency department and  cause of mortality with death rate being 10 %. Gastroenterology at Gia Đinh Hospital is a unit specialized in screening, diagnosing and treating medical diseases relating to gastrointestinal - hepatobiliary, providing treatment to many patients with GB due to stomach ulcers. However, the situations of using treatment methods and evaluating effectiveness have not been well. Therefore, it is necessary to conduct studies investigating those factors to assess the effectiveness of PPI theapy via descriptive cross-sectional study. The project follows the descriptive retrospective method, the subjects of which are  122 inpatient medical records using proton pump inhibitor for upper gastrointestinal bleeding due to peptid ulcer at Gia Định Hospital from June, 2018 to December, 2018. The average age is 55,63 ± 19,30. Forrest IIa accounted for the most (31,97 %). There are 18,03 % of patients given oxygen rebreathers, 46,72 % of patients received blood transfusion, hemostasis endoscopy was applied to 44,26 % of patients, 100 % of patients applied volume compensation. PPI group is used with 2 active ingredients: esomeprazole and pantoprazole, 97,54 % of PPI injections are indicated emergency. The first emergency dose was 83,81 ± 24,39 mg/24 hrs (esomeprazol) and 88,73 ± 33,85 mg/24 hrs (pantoprazol). About 97,54 % of the patients used emergency intravenous route, after 72 hours, patients changed to oral use with 1 tablet/day or 2 tablets/day. Most patients were treated according to the methods of treating upper gastrointestinal bleeding due to peptid ulcer. After treament by PPI, the result is significantly effective.