Z Gastroenterol 2019; 57(05): e148
DOI: 10.1055/s-0039-1691899
POSTER
Gastroenterologie
Georg Thieme Verlag KG Stuttgart · New York

Prospective evaluation for gastrointestinal bleedings at the University Hospital St. Pölten – one year of follow-up

M Stättermayer
1   Klinische Abteilung für Innere Medizin 2, Universitätsklinikum St. Pölten, St. Pölten, Austria
,
F Riedl
1   Klinische Abteilung für Innere Medizin 2, Universitätsklinikum St. Pölten, St. Pölten, Austria
,
S Bernhofer
1   Klinische Abteilung für Innere Medizin 2, Universitätsklinikum St. Pölten, St. Pölten, Austria
,
A Stättermayer
2   Universitätsklinik für Innere Medizin III, Klinische Abteilung für Gastroenterologie und Hepatologie, Medizinische Universität Wien, Wien, Austria
,
A Mayer
1   Klinische Abteilung für Innere Medizin 2, Universitätsklinikum St. Pölten, St. Pölten, Austria
,
A Maieron
1   Klinische Abteilung für Innere Medizin 2, Universitätsklinikum St. Pölten, St. Pölten, Austria
3   Arbeitsgruppe Qualitätssicherung der Österreichischen Gesellschaft für Gastroenterologie und Hepatologie (ÖGGH), Wien, Austria
› Author Affiliations
Further Information

Publication History

Publication Date:
16 May 2019 (online)

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Introduction:

Gastrointestinal (GI) bleedings are a common cause for hospital and are often causing a life-threatening situation. At the beginning of 2018 we started to register every patient with any kind of GI bleeding in a database. In the context of data evaluation, we obtained findings on incidence, prevalence, mortality and morbidity. In addition, this registry serves to evaluate predictive (both clinical and laboratory) parameters for the survival of patients with GI bleeding.

Methods:

All patients over the age of 18 years, who present with melena, hematochezia, hematemesis, or positive fecal occult blood test (FOBT) and who have been excluded from variceal bleeding were included into the registry after giving a declaration of informed consent. If necessary, the clarification was done by means of gastroscopy, colonoscopy or further diagnostic procedures.

Results:

At the time of submission, a total of 580 patients were enrolled and up to now data of 328 patients were analyzed, of whom 322 (98.2%) underwent endoscopic examination. The majority was male (n = 196 [59.8%]); the mean age was 70.3 (CI95% 68.5 – 72.1, [range: 19.1 – 96.4]) years. Bleeding was most frequently located in the upper gastrointestinal tract (n = 176 [53.7%]). Bleeding source was definitely or probably identified in the majority of the cases (n = 170 [51.8%] and n = 97 [29.6%], respectively); in 61 cases (18.6%) no bleeding source was found. No significant difference according age and gender regarding the distribution across the different localization groups could be determined. Irrespective the location, ulcers are by far the most common bleeding cause (n = 92 [28.0%]); among them, most are located in the stomach and duodenum (n = 60 [65.2%]).

Conclusion:

Non-variceal GI bleeding is a common cause for hospital admission and are mostly located in the upper GI tract. In almost one fifth of the patients no definite bleeding source was found.