UPPER DIGESTIVE BLEEDING IN PATIENTS WITH TRAUMATIC BRAIN INJURY
Abstract:
The aim is to evaluate upper digestive bleeding occurrence in patients with traumatic brain injury and to emphasize the severity of craniocerebral trauma and superior digestive hemorrhage association. We performed a retrospective study on 4491 patients with traumatic brain injury, admitted into the Emergency Clinical Hospital Bagdasar-Arseni, on a two years period of time. From the study group, 617 (13.73%) patients presented at least one episode of upper digestive bleeding. We analyzed aspects related to upper digestive bleeding occurrence, medical treatment, indications for surgery, operation type and outcome. Traumatic brain injury frequently causes upper digestive bleeding. Two periods with high risk for development of upper gastrointestinal bleeding can be found. Severity of traumatic brain injury and co-morbidities are important factors in upper digestive bleeding occurrence. Timing for conservative treatment or surgery must be adapted to each case. Association between traumatic brain injury and upper digestive bleeding is a frequent and severe,solving it, requires mobilizing all medical and surgical resources available.
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