Prevalence of and Risk Factors for Abdominal Bleeding in Patients with External Duodenal Fistula.

Abstract:

:BACKGROUND Abdominal bleeding is a severe complication of duodenal fistula, but few studies have focused on this problem. The purpose of the present study was to investigate the prevalence of and risk factors for intra-abdominal bleeding in patients with external duodenal fistula. MATERIAL AND METHODS From January 2014 to December 2016, medical records of 97 patients with external duodenal fistula were retrospectively reviewed and analyzed. The prevalence and risk factors for intra-abdominal bleeding were evaluated. RESULTS The prevalence of abdominal bleeding in patients with external duodenal fistula was 31.9% (95%CI: 22.5-41.4%). A total of 31 patients had intra-abdominal bleeding. Results revealed that acute kidney failure (OR: 8.462, 95% CI: 1.921-37.28, p=0.005) and retroperitoneal infection (OR: 5.373, 95% CI: 1.504-19.197, p=0.010) were associated with abdominal bleeding. CONCLUSIONS The prevalence of abdominal bleeding in patients with external duodenal fistula was 31.9%, and acute kidney failure and retroperitoneal infection were found to be risk factors for intra-abdominal bleeding.

journal_name

Med Sci Monit

authors

Yao Z,Ge Z,Xu X,Pu P,Ren X,Zhao Y,Qin C

doi

10.12659/MSM.912651

subject

Has Abstract

pub_date

2018-12-21 00:00:00

pages

9317-9323

eissn

1234-1010

issn

1643-3750

pii

912651

journal_volume

24

pub_type

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