Clinical Spectrum of Upper Gastrointestinal Bleeding in Pediatric Age Group: An Experience From a Tertiary Care Hospital of Bangladesh

Journal of Dhaka Medical College Pub Date : 2024-07-09 DOI:10.3329/jdmc.v31i2.73128

Mst. Hasna Hena, Kaniz Sultana, Iffat Ara Shamshad, Kamal Hossen, Pandora Glory, Z. Sarmin, Suraiya Lutfa Jahan

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Abstract

Background: The bleeding occurring proximal to the ligament of the treitz is known as Upper GI bleeding. The patient may present with hematemesis or melena. Upper gastrointestinal bleeding in children can result in complex and perhaps fatal clinical circumstances. It fluctuates significantly depending on changes in the patient’s demographics and other diseases. Methods: This was a cross sectional study conducted at the Department of Paediatrics, Dhaka Medical College Hospital, Dhaka. The study was conducted during the period of Jan’2020 to July 2022. The total number of study patients was 92. Result: The most extensive prevalence of UGIB is found in children aged 5 to 10 years (71.4%), followed by those aged 1 to 12 years (26.8%). Varices accounted for 67 (72.8%) of the UGIB causes, followed by erosive gastritis (6.5%), stomach ulcers (3.3%), esophagitis (2.2%), and Mallory Weiss tears (1.1%), with 13 (14.1%) of them being judged to be normal. Pallor was the most common presenting symptom, making up 82 (89.1%), then hematemesis 61(66.3%) and melena 30.4%, splenomegaly 55(59.8%), hematemesis plus melena (30.4%), hepatomegaly (28.3%), jaundice (15.6%), and melena (3.3%). Conclusion: Hematemesis is the most common presenting symptom of upper GI haemorrhage, which is more common in kids between the ages of 5 and 10. Esophageal varices were the most common source of intestinal bleeding. J Dhaka Med Coll. 2022; 31(2) : 215-219

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儿科上消化道出血的临床表现：孟加拉国一家三级医院的经验

背景：发生在特里茨韧带近端的出血被称为上消化道出血。患者可能会出现吐血或血便。儿童上消化道出血可导致复杂甚至致命的临床情况。根据患者的人口统计学特征和其他疾病的变化，上消化道出血的发病率会有很大波动。研究方法这是一项在达卡医学院附属医院儿科进行的横断面研究。研究时间为 2020 年 1 月至 2022 年 7 月。研究患者总数为 92 人。研究结果5 至 10 岁儿童 UGIB 发病率最高（71.4%），其次是 1 至 12 岁儿童（26.8%）。在导致 UGIB 的原因中，静脉曲张占 67 例（72.8%），其次是糜烂性胃炎（6.5%）、胃溃疡（3.3%）、食管炎（2.2%）和 Mallory Weiss 撕裂伤（1.1%），其中 13 例（14.1%）被判定为正常。苍白是最常见的首发症状，占 82 例（89.1%），然后是吐血 61 例（66.3%）和血便 30.4%、脾脏肿大 55 例（59.8%）、吐血加血便（30.4%）、肝脏肿大（28.3%）、黄疸（15.6%）和血便（3.3%）。结论吐血是上消化道出血最常见的症状，在5至10岁的儿童中更为常见。食管静脉曲张是最常见的肠道出血来源。2022; 31(2) : 215-219

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Journal of Dhaka Medical College

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