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The Trend of Tranexamic Use in Upper Gastrointestinal Bleeding Ulcers
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
2017 (English)In: Gastroenterology Research, ISSN 1918-2805, E-ISSN 1918-2813, Vol. 10, no 3, p. 159-165Article in journal (Refereed) Published
Abstract [en]

Background: Bleeding ulcer is a common condition, especially among the elderly population. Tranexamic acid (TXA) has been successfully used for many bleeding conditions. Its use in patients with bleeding ulcer is inclusive yet. The aim of this study was to provide an overview of the prescription of TXA.

Methods: This retrospective cohort study was performed as a review of medical records at the Surgery Department, University Hospital in Linkoping. Patients with complete esophagogastroduodenoscopy and ulcer disease were included and divided on the basis of treatment with TXA or not. Differences between the groups were statistically analyzed.

Results: The main part of the prescription of TXA, 65%, occurred during 2010 and 2011, and 35% between 2012 and 2013 (P < 0.05). In the group treated with TXA, 84% needed blood transfusion, compared to 64% in the control group (P = 0.039). Of the patients treated with TXA, 18% were re-bleeding compared to 14% of the controls (P = 0.594). Median value for days at hospital was 5 in the tranexamic group and 3 in the control group (P = 0.005).

Conclusion: The prescription of TXA has declined between 2010 and 2013. TXA was more often prescribed to patients with more severe gastrointestinal (GI) bleeding ulcer disease. Further investigation is needed to conclude the significance of tranexamic acid in patients with GI bleeding ulcer disease.

Place, publisher, year, edition, pages
Montreal, Canada: Elmer Press Inc. , 2017. Vol. 10, no 3, p. 159-165
Keywords [en]
Bleeding ulcer; Esophagogastroduodenoscopy; H. pylori; Hematemesis; Melena; Tranexamic acid
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:liu:diva-146283DOI: 10.14740/gr836wPubMedID: 28725302OAI: oai:DiVA.org:liu-146283DiVA, id: diva2:1195926
Available from: 2018-04-07 Created: 2018-04-07 Last updated: 2018-05-04Bibliographically approved

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Redéen, Stefan

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Division of Cardiovascular MedicineFaculty of Medicine and Health SciencesDepartment of Surgery in Linköping
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