النزف الهضمي العلوي المحرض بمضادات الالتهاب غير القشرية

The aim of this prospective follow – up study was to evaluate the effect of NSAIDs on upper gastrointestinal bleeding, morbidity, mortality and other risk factors in these patients. It also seeks to establish whether the NSAIDs – prescribing physicians take precautions to prevent or reduce ulceration by giving proton pump inhibitors ( PPIs ) or choose COX2 selective drugs in high risk group of patients. 50 patients whose ages are (20 – 79) years admitted to Alassad University Hospital in Lattakia between 1 / 9 / 2007 – 1 / 12 / 2008 with (VGIB) hematemesis or melena ofter use of NSAIDS. The study shows that duodenal ulcer and gastric ulcer can be confirmed as the source of bleeding by endoscopy.