The Indian Journal of Pediatrics

, Volume 76, Issue 9, pp 899–901 | Cite as

Etiology of upper gastrointestinal bleeding in young children

  • Derya Kalyoncu
  • Nafiye Urganci
  • Feyzullah Cetinkaya
Original Article

Abstract

Objective

Evaluation of children younger than two years old admitted to a pediatric emergency department with upper gastrointestinal bleeding.

Methods

Thirty four (34) children aged < 2 years with upper gastrointestinal bleeding were studied. The demographic features, etiologies, laboratory and endoscopic findings and treatment procedures were evaluated retrospectively.

Results

The study consisted of 34 patients (73.5 % male, 26.5 % female) with a median age 12.3 months (1.5–24 months). 30 patients (88 %) had an underlying disease. 21 patients (56 %) had a history of aspirin or nonsteroidal anti-inflammatory drugs intake. Endoscopic findings were pathological in 85% of patients.

Conclusion

The incidence of upper gastrointestinal bleeding in children aged < 2 years due to antipyretics must be taken into consideration although most of them may also have an underlying disease.

Key words

Upper gastrointestinal bleeding Children Endoscopy Aspirin NSAIDs 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Carvalho E, Nita MH, Paiva LM et al. Gastrointestinal bleeding. J Pediatr 2000;76:135–146.Google Scholar
  2. 2.
    Arora NK, Ganguly S, Ahuja A et al. Upper gastrointestinal bleeding: etiology and management. Indian J Pediatr 2002; 69: 155–168.CrossRefPubMedGoogle Scholar
  3. 3.
    Heitlinger LA, McClung HJ. Gastrointestinal hemorrhage. In Wyllie R, Hayms JS eds. Pediatric Gastrointestinal Disease. Pathophysiology, Diagnosis, and Management, 2nd ed. Philadelphia, WB Saunders; 1999: 64–72.Google Scholar
  4. 4.
    Huang IF, Wu TC, Wang KS et al. Upper gastrointestinal endoscopy in children with upper gastrointestinal bleeding. J Chin Med Assoc 2003; 66: 271–275.PubMedGoogle Scholar
  5. 5.
    Li Voti G, Acierno C, Tulone V et al. Relationship between upper gastrointestinal bleeding and nonsteroidal antiinflammatory drugs in children. Pediatric Surg Int 1997; 12: 264–265.CrossRefGoogle Scholar
  6. 6.
    Fox VL.Gastrointestinal bleeding in infancy and childhood. Gastroenterol Clin North Am 2000;29:37–66.Google Scholar
  7. 7.
    Felber S, Rosenthal P, Henton D. The BUN/Creatinine ratio in localizing gastrointestinal bleeding in pediatric patients. J Pediatr Gastroenterol Nutr 1988; 7: 685–687.PubMedCrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2009

Authors and Affiliations

  • Derya Kalyoncu
    • 1
    • 3
  • Nafiye Urganci
    • 2
  • Feyzullah Cetinkaya
    • 1
  1. 1.Sisli Etfal Training and Research Hospital, PediatricsIstanbulTurkey
  2. 2.Pediatric GastroenterologyIstanbulTurkey
  3. 3.AnkaraTurkey

Personalised recommendations