Upper Gastrointestinal Bleeding in Children: A Tertiary United Kingdom Children's Hospital Experience

Children
Omar NasherRichard J Stewart

Abstract

The aim of this study was to review the aetiology, presentation and management of these patients with upper gastrointestinal bleeding (UGIB) at a tertiary children's unit in the United Kingdom. This was a retrospective single-institution study on children (<16 years) who presented with acute UGIB over a period of 5 years using known International Classification of Diseases (ICD) codes. A total of 32 children (17 males, 15 females) were identified with a total median age at presentation of 5.5 years. The majority (24/32) of patients presented as an emergency. A total of 19/32 presented with isolated haematemesis, 8/32 with isolated melaena and 5/32 with a combination of melaena and haematemesis. On admission, the mean haemoglobin of patients who presented with isolated haematemesis was 11 g/dL, those with isolated melaena 9.3 g/dL and those with a combination 7.8 g/dL. Blood transfusion was required in 3/19 with haematemesis and 3/5 with haematemesis and melaena. A total of 19/32 underwent upper gastrointestinal endoscopy. Endoscopic findings were oesophageal varices (5/19) of which 4 required banding; bleeding gastric ulcer (1/19) requiring clips, haemospray and adrenaline; gastric vascular malformation (1/19) treated with Argo...Continue Reading

References

May 5, 2004·Best Practice & Research. Clinical Gastroenterology·David J Exon, S C Sydney Chung
Dec 14, 2006·Clinical Pediatrics·Sanjay ChawlaDeepak Kamat
May 18, 2010·European Journal of Clinical Pharmacology·Lamiae Grimaldi-BensoudaElisabeth Autret-Leca
May 11, 2012·World Journal of Pediatrics : WJP·Katherine ClevelandMichael Nowicki
Dec 30, 2014·Journal of Pediatric Gastroenterology and Nutrition·Mike A ThomsonDalia Belsha

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Citations

Jul 20, 2018·Minerva pediatrica·Fabio CisaròPier Luigi Calvo
Dec 24, 2018·The Journal of Critical Care Medicine·Maria Oana MărgineanVlăduț Săsăran

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