Browsing by Author "W/Giorgis Blen"

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    Major Causes and Factors Associated the outcome of Patients with Upper GI Bleeding in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Institution Based Prospective Cohort study
    (Addis Ababa University, 2023-10) W/Giorgis Blen; Merdassa Guda; Berhe Rezene
    Background: Upper gastrointestinal bleeding refers to blood loss within the intraluminalgastrointestinal tract from any location between the upper esophagus to the duodenum at the levelof the ligament of Treitz. Bleeding from the upper gastrointestinal tract is approximately five timesmore common than from the lower gastrointestinal tract. The incidence of upper GI bleedingranges from 50 to 150/100,000 population annually, and as many as 70% of acute upper GIbleeding episodes occur in patients older than 60 years. This study aimed to assess the Rebleeding and Death at 30 days of the patient’s outcome with those upper GI bleeding in TASH, AddisAbaba, Ethiopia. Method: The study was an institution-based prospective cohort study. A total of 123 patients whohad upper GI bleeding were enrolled in this study, and associated factors studied. Data sampleswere collected from the study participants, together with associatesociodemographic, endoscopic findings, lab profiles, potential risk factors, and other importantquestionnaires, at the TASH GIClinic endoscopy unit from January 2023 to September 2023. Result: The mean age of participants with GIB was 41.28 ± 16.352 (range 13–84 years). About67 (54.5%) of patients were under 40 years of age. Out of 123 patients admitted with upper GIbleeding, 73 (58.5%) of them stayed in hospital for less than 3 days, rebleeding at 30 days occurredin 21 (17.1%) of patients, and death at 30 days occurred in 17 (13.8%). Conclusion: In this study, the mortality rate at 30 days was high about 13.8% and in 17.1% ofpatients, rebleeding occurred within 30 days. Variceal bleeding was found the most common causeof upper gastrointestinal bleeding accounting for 53.7% of patients.