CHSJ

Curr Health Sci J, vol. 42, no. 3, 2016

Upper Gastrointestinal Bleeding in Chronic Kidney Disease Patients

[Original Paper]

DANIELA MARINESCU(1), M. LAZAR(2), S. ZAHARIE(3), COSMINA COMANESCU(2), CLAUDIA TUDORAN(2), M. BICA(4), L. BARBU(5)


(1)university of medicine and pharmacy of craiova,
(2)Emergency Hospital of Craiova, 1st Surgical Clinic,
(3)Emergency Hospital of Craiova, Nephrology Clinic,
(4)Emergency Hospital of Craiova, 1st Surgical Clinic, University of Medicine and Pharmacy of Craiova, Department of Surgery,
(5)University of Medicine and Pharmacy of Craiova, PHD fellow


Abstract:

Aim: To investigate upper GI bleeding as a particular complication in chronic kidney disease patients. Material and methhod: 30 chronic kidney disease patients admitted to the Nephrology Department for upper gastrointestinal bleeding over a period of 5 years. Results: 16 patients were undergoing hemodialysis (53.3%) and 14 patients were not in a hemodialysis program. There were no patients undergoing peritoneal dialysis. Very high comorbidity rate for all patients, most important being cardiovascular diseases. Only 10% of patients had oral anticoagulant treatment prior to GI bleeding. Conservative treatment was successful for all patients; no endoscopic or surgical haemostasis was needed. Conclusion: Although chronic disease kidney patients have a high risk of upper GI bleeding compared to the general population, the conservative treatment applied has a very high rate of success in stopping the bleeding without the need for endoscopic or surgical haemostasis treatment.


Keywords: upper GI bleeding, chronic kidney disease, hemodialysis



Corresponding: Bica Marius, 1st Surgical Clinic Emergency Hospital of Craiova, Str Tabaci nr 1, Craiova, Dolj; e-mail: mariusbk@yahoo.com


DOI 10.12865/CHSJ.42.03.02 - Download PDF
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