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Alan Roland Tumbelaka
Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Indonesia
Health Professions Medicine & Pharmacology

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Journal : Paediatrica Indonesiana

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Risk factors of upper gasterointestinal tract bleeding caused by stress ulcer Abdul Latief; Alan Roland Tumbelaka; Rulina Suradi; WEnny Lazdya Taifur
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.571 KB) | DOI: 10.14238/pi39.1-2.1999.20-8

Abstract

During the period of December 1st 1997 until April 30th 1998, an observational study with cross sectional design was conducted at the Pediatric Intensive Care Unit (PICU). Risk factors of the occurrence of upper gastrointestinal tract bleeding (VGTB) on patients admitted to the PICU Medical School University of Indonesia/ Cipto Mangunkusumo Hospital were described analysed. Upper gastrointestinal tract bleeding was confirmed if there was evidence of brown or coffee ground material of the gastric fluid in the nasogastric or gastrotomy tube, hematemesis or melena, which was subsequently proved by benzidin test.  The risk factors in this study was defined based on the risk factors found from previous studies i.e. shock, sepsis. severe head injury, multiple complication, liver insufficiency, pneumonia, respiratory failure, intervention during treatment (operation >3 hours, ventilator, corticosteroid >3 days). From 26 patients with UGTB risk factors in this study, 19 persons (73%) developed UGTB. The proportion of UGTS was not different on the patient's characteristic (age, sex, nutritional status). UGTB found were bleeding through nasogastric tube (58%) and occult bleeding 37%, hematemesis only one person (II %).The majority of VGTB occurred on the 3rd  day of hospitalization (84%) and after ventilator usage of >48 hours (58%). Patient who underwent >3 hours operations were craniotomies. All the patients who received >3 days of corticosteroid (4 persons) developed VGTS.
Co-Authors Abdul Latief Rulina Suradi WEnny Lazdya Taifur