The influence of risk factors in recurrent peptic ulcer hemorrhage
Gastrointestinal hemorrhage is one of the most frequent complications that occurs in 15 20% patients with peptic ulcer disease. Recurrent ulcer hemorrhage presents in the first 72 hours after initial bleeding; they are the most important cause of death. The aim of our study was to show the possibility of ulcer recurrent hemorrhage combined with risk factors: age 60, high risk lesion (active arterial bleeding, visible blood vessel, adherent coagulum), the size, ulcer base and localization (posterior duodenal wall, lesser curvature or high gastric ulcer), commorbidities (cardiovascular and liver diseases) and haemodynamic instabilities. The combination of these risk-factors unproportionally increases the risk: presence of two risk factors gives the possibility of recurrent bleeding of 16.67%, three risk factors 58.82%, four 93.33%, while the presence of five risk factors shows 100 % possibility. Probability of death is 8.27 times greater if ulcer hemorrhage occurs.