1. Digestive Bleeding by Rupture of Esophageal Varicose Veins and Prognosis Value of Blood Transfusion in the Hepatogastroenterology Department of the Gabriel Toure Hospital
- Author
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A. Konaté, K. Péliaba, MY Dicko, M. Koumaré, H. Sow, M. Diarra, Sanra Déborah Sanogo, M. Tounkara, M. Y. Maiga, G Soumaré, and Kadiatou Doumbia
- Subjects
medicine.medical_specialty ,Blood transfusion ,Anemia ,business.industry ,medicine.medical_treatment ,Mortality rate ,Context (language use) ,medicine.disease ,Surgery ,Esophageal varices ,Varicose veins ,medicine ,medicine.symptom ,Varices ,business ,Cause of death - Abstract
Digestive hemorrhage by rupture of esophageal Varices is common and has a pejorative prognosis in our context. Purpose: The main purpose of this work was to study the digestive bleeding by esophageal varices and prognosis value of blood transfusion in the Hospital of Gabriel Toure. Methodology: It was a prospective study that took place in the service of Hepato-gastroenterology of Gabriel Toure Hospital from June 2016 to May 2017 and from November 2017 to August 2018. Results: At the end of the study, 77 patients met the inclusion criteria out of 1396 patients hospitalized during the same period. Varices bleeding represented a prevalence of 5.5% among hospitalized patients during the same period. The average age of our patients was 46.58 ± 15.09 years. The male sex was more reported in our study with a prevalence of 67.5%. At admission, 63.2% had clinical anemia, 58.4% low arterial pressure and 50.6% hemoglobin rate less than 7 g/dL. Blood transfusion was indicated in 47 patients (61%). The mortality rate was 23.4% and was comparable in both groups (p = 0.0990). Early rebleeding was significantly observed in the case of transfusion (p = 0.0452). Hepatic encephalopathy was the leading cause of death of our patients with 72.2%. Conclusion: Digestive bleeding by esophageal varices is a worsen complication in cirrhosis in hospital setting. Transfusion has not significantly improved the prognosis of our patients.
- Published
- 2021
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