Causes and factors that are in relation to the occurrence of gastrointestinal bleeding in Phibun Mangsahan Hospital Ubon Ratchathani Province

Abstract

Background: Gastrointestinal bleeding is a common disorder in the gastrointestinal tract. It is also important emergencies that require timely assistance and is important in medical practice. Because it is a condition that has a high death rate.

Objective: To study the cause factors predicting the occurrence of upper gastrointestinal bleeding in patients at Phibun Mangsahan Hospital. Ubon Ratchathani Province

Study style:  Retrospective descriptive study

Methods: The population group is medical records of patients with upper gastrointestinal bleeding at Phibun Mangsahan Hospital Ubon Ratchathani Province between 1 October 2020 and 30 September 2022 and received an upper gastrointestinal endoscopy. by recording basic information, laboratory test results, causes factors predicting the occurrence of upper gastrointestinal bleeding. Data were analyzed using descriptive statistics, correlation analysis, and multiple regression analysis.

Results: A total of 151 patients with upper gastrointestinal bleeding received endoscopy.  Male more than female, with the majority being over 60 years of age. Most were caused by non-variceal bleeding 118 people (78.15%), with the highest cause being Gastric ulcer 79 people (52.32%), and variceal bleeding 33 people (21.85%). The most common location of peptic ulcer was Gastric antrum in 62 people (65.97%) followed by Gastric pylorus in 11 people (11.70%). Factors associated with bleeding in the upper gastrointestinal tract were found to be a history of alcohol drinking, smoking, hematocrit less than 30%, receiving NSAIDs, vomiting blood, pale fatigue, and epigastric pain. It was found that the chance of bleeding in the upper gastrointestinal tract increased with statistical significance at the levels of 0.00, 0.04, 0.00, 0.03, 0.00, 0.03 and 0.04, respectively.

Conclusion: The strongest impact cause factor predicting the occurrence of upper gastrointestinal bleeding in patients at Phibun Mangsahan Hospital Ubon Ratchathani Province is history of alcohol drinking , then smoking, vomiting blood. Reducing this risk factors can help prevent upper gastrointestinal bleeding.