Koronavirüs hastal ığı-2019 [coronavirus disease-19 (COVID-19)] pandemisinde üst gastrointestinal sistem endoskopisi, bulaş açısından yüksek riskli olmas ı nedeniyle acil vakalar d ışında ertelenmiş veya iptal edilmiştir. Çalışmamızın amacı, COVID-19 pan- demisinin acil servise ba şvuran üst gastrointestinal kanamal ı hastalar üzerindeki etkisini, COVID-19 öncesi dönem ile kar şılaştırarak değerlendirmektir. Gereç ve Yöntemler: Tek merkezli, retrospektif çalışmada hastalar COVID-19 öncesi (pre-C) (Mart 2019-Mart 2020) ve COVID-19 sonrası (post-C) (Mart 2020-Mart 2021) olmak üzere 2 dönem olarak gruplandı. Bu dönemlerde, acil servise üst gastrointesti- nal kanamas ı nedeniyle ba şvuran ve endoskopik inceleme yap ılan hastalar çalışmaya dâhil edildi. Bulgular: Pre-C dönemde 125 hastada, post-C dönemde ise 89 (%29 azalma) hastaya üst gastrointestinal kanaması nedeniyle acil endoskopi uyguland ı. Glasgow-Blatchford Skoru, pre-C döneminde daha yüksekti (p=0,02). Her iki grupta da en sık kanama nedeni peptik ülserdi. Kanama etiyolojisinde yüksek riskli peptik ülser (forest 1a/1b/2a/2b) oran ı ve malignite oran ı post-C dönemde daha fazlayd ı (sırayla p=0,003, p=0,04). Endoskopik kom- bine tedavi oranı post-C grupta daha fazla fazlayd ı (p<0,001). Tekrar kanama oranları her iki grup için benzerdi (p=0,48). Sonuç: Post-C döneminde acil servise ba şvuran üst gastrointestinal kanamal ı hasta sayısı belirgin azalmıştır. Post-C dönemde üst gastrointestinal kanama etiyolojisinde yüksek riskli peptik ülser ve malignite oranı artmıştır.
bjective: In the period of the coronavirus disease-19 (COVID-19) pandemic, upper gastrointestinal endoscopy was either postponed or canceled, except for emergencies, due to the high risk of transmission. Our study aimed to evaluate the effect of the COVID-19 pandemic on patients with upper gastrointestinal bleeding presenting to the emergency department and to compare it with the data before the pandemic. Material and Methods: In this single-center, retrospective study, patients were divided into 2 groups: pre-COVID-19 (pre-C) (March 2019-March 2020) and post-COVID-19 (post-C) (March 2020- March 2021). Patients who presented to the emergency department with upper gastrointestinal bleeding during these periods and underwent en- doscopic examination were included in the study.Results: Endoscopy for upper gastrointestinal bleeding was urgently performed in 125 pa- tients in the pre-C period and in 89 (29% decrease) patients in the post- C period. The Glasgow-Blatchford Score was higher in the pre-C period (p=0.02). Peptic ulcers were the most common cause of bleeding in both groups. High-risk peptic ulcer (forrest 1a/1b/2a/2b), and malig- nancy were observed more frequently in the post-C period (p=0.003, p=0.04; respectively). Endoscopic combined treatment rate was higher in the post-C group (p<0.001). Re-bleeding ratios were similar for both the groups (p=0.48). Conclusion: During the post-C period, the num- ber of upper gastrointestinal bleeding cases admitted to the emergency department decreased significantly. However, the rate of high-risk pep- tic ulcer and malignancy in the etiology of upper gastrointestinal blee- ding increased in the post-C period.
