Objective To investigate the frequency, indication and results of upper gastrointestinal endoscopy (UGIE) at four different intensive care units (ICUs) in one hospital.
Setting Rotterdam Erasmus University Hospital, The Netherlands.
Participants One hundred and ninety-nine male and 102 female patients ; mean age, 58.3 years (range, 14-91 years).
Main outcome measures and results UGIE was primarily diagnostic and therapeutic in 55% and 45% of patients, respectively.
Seventy-three per cent of the diagnostic UGIEs were performed for localization of a haemorrhage and 70% of the therapeutic UGIEs for placement of feeding tubes.
The causes of haemorrhage were varices, duodenal ulcer and oesophagitis in 26,22 and 14% of cases, respectively.
As co-incidental findings, oesophagitis, gastritis and gastric ulcer were seen in, respectively, 18,8 and 7% of cases.
The vast majority of UGIEs (81%) were performed at the surgical and medical ICUs.
At the medical ICU, upper gastrointestinal haemorrhage (UGIH) usually was the ICU admission diagnosis, and usually concerned varices (56%). At the surgical ICU, UGIH was usually not the ICU admission diagnosis but a postoperative complication, and usually concerned oesophagitis (25%) or a duodenal or gastric ulcer (25 and 13%, respectively).
Of all ICU patients, surgical patients were most prone to have co-incidental abnormalities of the digestive tract at UGIE (63%). (...)
Mots-clés Pascal : Endoscopie, Gastrointestinal, Indication, Diagnostic, Traitement, Fréquence, Résultat, Service urgence, Etude statistique, Homme, Appareil digestif pathologie, Oesophage pathologie, Estomac pathologie, Intestin pathologie
Mots-clés Pascal anglais : Endoscopy, Gastrointestinal, Indication, Diagnosis, Treatment, Frequency, Result, Emergency department, Statistical study, Human, Digestive diseases, Esophageal disease, Gastric disease, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0074726
Code Inist : 002B24E06. Création : 31/05/1999.