Journal of Emergency Practice and Trauma

Pediatric upper gastrointestinal bleeding in children: etiology and treatment approaches

Document Type : Original Article

Authors

Esra Polat 1
Nevzat Aykut Bayrak 2
Günsel Kutluk 1
Hasret Ayyıldız Civan 3

1 Department of Pediatrics, Division of Pediatric Gastroenterology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey

2 Department of Pediatrics, Division of Pediatric Gastroenterology, Health Sciences University, Zeynep Kamil Maternity and Children’s Training and Research Hospital, Istanbul, Turkey

3 Department of Pediatrics, Division of Pediatric Gastroenterology, Health Sciences University, Bakırköy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey

https://doi.org/10.34172/jept.2020.10
Abstract
Objective: Upper gastrointestinal bleeding (UGB) is one of the most important and serious cause of emergency admission in childhood. The aim of the study was to evaluate the etiological factors and the treatment approaches in patients with UGB.
Methods: In this retrospective study, children with UGB admitted to emergency clinics of Istanbul Health Sciences University Kanuni Sultan Suleyman Research and Training Hospital, Istanbul Bakirkoy Sadi Konuk Research and Training Hospital and Diyarbakir Children’s Hospital were evaluated between January 2014 and August 2017.
Results: Of the 198 children, 14.6% had non-steroid anti-inflammatory drug (NSAID) history, and 12.6% had chronic liver disease. We detected esophagitis, esophagus varices and peptic ulcer with upper gastrointestinal endoscopic evaluation (47%, 11.1%, 18.1%, respectively). Helicobacter pylori was found in 61.6% of patients. Endoscopic therapeutic procedures (band ligation therapy, sclerotherapy, and adrenaline injection) were appied in 11.1% of patients. Eighty-four (42.4%) patients were hospitalized, and erythrocyte transfusion (ET) was ordered in 29 (14.6%) patients.
Conclusion: Approximately in 20% of the pediatric patients, the source of gastrointestinal bleeding is the upper gastrointestinal system. The cause of UGB varies with age. Appropriate diagnostic and therapeutic approaches are very important for management and to reduce mortality.

Keywords

Upper gastrointestinal bleeding
Etiology
Treatment
Child
Subjects
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Journal of Emergency Practice and Trauma
Volume 6, Issue 2
July 2020
Pages 59-62

  • Receive Date 07 January 2020
  • Revise Date 02 April 2020
  • Accept Date 04 April 2020

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