Upper XXXX in a Brazilian hospital: a retrospective study of endoscopic records.

@entity1 @entity409 @entity360 @entity548
BACKGROUND: Upper @entity360 is a frequent and potentially severe complication of most digestive diseases of the upper gastrointestinal tract. Upper endoscopy has a crucial role in the diagnosis and treatment of @entity360 , however epidemiological studies are still limited in our country. Aims - To assess the clinical characteristics, endoscopic accuracy, treatment efficiency and clinical outcome of @entity1 admitted to the endoscopic unit with @entity360 . METHODS: A retrospective study of consecutive records from @entity1 who underwent emergency endoscopy for @entity360 was performed during a period of 2 years. RESULTS: Most @entity1 were male 68.7%, with a mean age of 54.5 +/- 17.5 years. A @entity548 site could be detected in 75.6% of the @entity1 . Diagnostic accuracy was greater within the first 24 hours of the @entity548 onset, and in the presence of hematemesis. Peptic ulcer was the main cause of @entity360 (35%). The prevalence of variceal @entity548 (20.45%) indicates a high rate of underlying @entity409 . Endoscopic treatment was performed in 23.86% of the @entity1 . Permanent hemostasis was achieved in 86% of the @entity1 at the first endoscopic intervention, and in 62.5% of the @entity1 after rebleeding. Emergency surgery was seldom necessary. The average number of blood units was 1.44 +/- 1.99 per @entity1 . The average length of hospital stay was 7.71 +/- 12.2 days. Rebleeding was reported in 9.1% of the @entity1 . The overall mortality rate of 15.34% was significantly correlated with previous @entity409 . CONCLUSIONS: Diagnostic accuracy was related to the time interval between the @entity548 episode and endoscopy, and to clinical presentation. Endoscopic therapy was an effective tool for selected @entity1 . The resulting increased duration of hospitalization and higher mortality rate in the @entity1 submitted to therapeutic endoscopy were attributed to a higher prevalence of variceal @entity548 and underlying @entity409 .
