CHSJ

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

Upper Gastrointestinal Bleeding in Chronic Kidney Disease Patients

[Original Paper]

D. MARINESCU(1), M. LAZAR(2), S. ZAHARIE(3), C. COMANESCU(2), C. 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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