Our Surgery Experience of Non-Oesophageal Varices Upper Gastrointestinal Bleeding

Abstract

Necessity for surgery in the treatment Acute Upper Gastrointestinal Bleeding (AUGIB) is gradually decreasing. In spite of the decrease in the need for surgery, there is no decrease in rates of mortality and complication following surgery. The aim of this study is to present outcomes of the patients operated on AUGIB. Files of the patients operated on AUGIB, from 1 January 2010 to 2020, were examined. Age, gender and diagnosis of the patients, conservative treatment methods prior to surgery, surgery, duration of hospital stay, rates of mortality and complications were retrospective analyzed. 15 patients with UGH diagnosis were involved in the study. Out of 15, 12 male and 3 female, and their mean age was 61.26 (22-88). All the patients received endoscopic examination before the surgery. 2 patients received total gastrectomy, 1 distal gastrectomy, 3 gastrostomy and haemorrhage control, 6 HM pyloroplasty and bilateral truncal vagatomy, 2 HM pyloroplasty + gastrojejunostomy and bilateral truncal vagatomy, and 1 Whipple surgery. Average hospital stay was 10.53 (1-19) days. Mortality rate was 33%, complication was 26%. Surgical need for AUGIB was decreased by 2% over the years. Despite decrease in the need of surgery, rates of mortality and complication were 30% and 55% respectively. Mortality is generally caused by co-morbid disease. © 2021 Ondokuz Mayis Universitesi. All rights reserved.