Authors : Hala Mohamed Fadol; Nizar Salah Ismail; Mogadam Baher Eldin Yagob; Mohammed Salah Ismail; Yousif Tag Elsir Hamad; Abdelmounem Eltayeib Abdo;

Volume/Issue : Volume 6 - 2021, Issue 4 - April

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Abstract : There are established guidelines for the acute management of patients presenting to the hospital with upper gastrointestinal bleeding. Adherence to these guidelines is inconsistent and few studies have addressed this issue and the aim of this study to assess the practice of medical doctors toward upper gastrointestinal bleeding management. Methods: This is a facility based cross sectional study. The study was conducted at Mohammed Salih Edris Bleeding Center in Ibn Sina Teaching Hospital at Khartoum State during the period from May to September 2017. The study sample included 100 medical doctors and total coverage of the study population was done. Data was collected using a questionnaire filled by doctors. Results: Specific protocols for upper GIT bleeding management in the studied hospitals was reported by 88(88%) of the doctors. In basic practice the most common protocol used by the doctors was hospital protocol 33(33%) and the least common used 3(3%) senior instruction with British protocol. Offer of urgent endoscope for hemodynamically junstable patients with severe upper GIT bleeding was done by 38(38%). Other 62(62%) did not do this process at immediately; of the later 31(50%) offer urgent endoscope within 24 hours. On the other hand routine performance of endoscope for hemodynamicaly stable upper GIT bleeding patients was done by 52(52%) of the doctors within 24 hours Conclusion: The medical doctors in the studied hospital had moderate knowledge and applied indigenous protocols as well as international protocols for upper gastrointestinal bleeding management.

Keywords : Khartoum, Upper GIT Bleeding, Practice, Management.