Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang

Background and objectives: Endoscopic therapy remains the mainstay in treatment of upper gastrointestinal bleeding (UGIB). Despite the advancement in endoscopic therapy, the mortality rate for UGIB has remained constant at about 10% for the past few decades. This study aims to determine the preva...

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Main Author:	Zaidi, Ahmad Al-Hafeez Ahmad
Format:	Thesis
Language:	English
Published:	2020
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/49411/1/Ahmad%20Al-Hafeez%20Ahmad%20Zaidi-24%20pages.pdf
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id	my-usm-ep.49411
record_format	uketd_dc
spelling	my-usm-ep.494112021-07-11T02:56:01Z Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang 2020 Zaidi, Ahmad Al-Hafeez Ahmad R Medicine Background and objectives: Endoscopic therapy remains the mainstay in treatment of upper gastrointestinal bleeding (UGIB). Despite the advancement in endoscopic therapy, the mortality rate for UGIB has remained constant at about 10% for the past few decades. This study aims to determine the prevalence of outcomes post endoscopic therapy in bleeding peptic ulcers. Methods: This is a retrospective record review of patients who underwent emergency upper endoscopy for UGIB from March 2014 to March 2019 in Hospital Serdang, Selangor. Data was collected from endoscopic suite records and the prevalence of permanent haemostasis, re-endoscopy, angio-embolization, surgery and 30-day mortality was calculated. Results: A total of 204 patients who underwent emergency upper endoscopic therapy for UGIB were included in our study. More than half of the patients 113 (55.4%) achieved permanent haemostasis after initial endoscopic therapy whilst 84 (41.2%) had to undergo re-endoscopy due to re-bleeding ulcer. A small percentage had to undergo surgery 10 (4.9%) while only 3 (1.5%) underwent angio-embolization. Out of 204 patients included, there was 34 (16.7%) mortalities and the median length of stay was 5 days. Conclusion: From our study, we can conclude that permanent haemostasis is the outcome with highest prevalence after endoscopic therapy for UGIB in our centre. However, we should strive to reduce our rate of re-endoscopy as it is not up to par with data from other developing countries. 2020 Thesis http://eprints.usm.my/49411/ http://eprints.usm.my/49411/1/Ahmad%20Al-Hafeez%20Ahmad%20Zaidi-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine
spellingShingle	R Medicine Zaidi, Ahmad Al-Hafeez Ahmad Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang
description	Background and objectives: Endoscopic therapy remains the mainstay in treatment of upper gastrointestinal bleeding (UGIB). Despite the advancement in endoscopic therapy, the mortality rate for UGIB has remained constant at about 10% for the past few decades. This study aims to determine the prevalence of outcomes post endoscopic therapy in bleeding peptic ulcers. Methods: This is a retrospective record review of patients who underwent emergency upper endoscopy for UGIB from March 2014 to March 2019 in Hospital Serdang, Selangor. Data was collected from endoscopic suite records and the prevalence of permanent haemostasis, re-endoscopy, angio-embolization, surgery and 30-day mortality was calculated. Results: A total of 204 patients who underwent emergency upper endoscopic therapy for UGIB were included in our study. More than half of the patients 113 (55.4%) achieved permanent haemostasis after initial endoscopic therapy whilst 84 (41.2%) had to undergo re-endoscopy due to re-bleeding ulcer. A small percentage had to undergo surgery 10 (4.9%) while only 3 (1.5%) underwent angio-embolization. Out of 204 patients included, there was 34 (16.7%) mortalities and the median length of stay was 5 days. Conclusion: From our study, we can conclude that permanent haemostasis is the outcome with highest prevalence after endoscopic therapy for UGIB in our centre. However, we should strive to reduce our rate of re-endoscopy as it is not up to par with data from other developing countries.
format	Thesis
qualification_level	Master's degree
author	Zaidi, Ahmad Al-Hafeez Ahmad
author_facet	Zaidi, Ahmad Al-Hafeez Ahmad
author_sort	Zaidi, Ahmad Al-Hafeez Ahmad
title	Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang
title_short	Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang
title_full	Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang
title_fullStr	Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang
title_full_unstemmed	Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang
title_sort	outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in hospital serdang
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2020
url	http://eprints.usm.my/49411/1/Ahmad%20Al-Hafeez%20Ahmad%20Zaidi-24%20pages.pdf
_version_	1747821998384349184

Outcomes of endoscopic therapy for bleeding peptic ulcers ; a retrospective study in Hospital Serdang

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