Clinical Audit on Management of Hematemesis in Children Admitted to Pediatric Gastroenterology and Hepatology Unit of Assiut University Children Hospital

Abstract
Background: Hematemesis is an uncommon but potentially serious and life-threatening clinical condition in children. It indicates that the bleeding origin is above the Treitz angle, i.e., that it constitutes an Upper Gastrointestinal Bleeding (UGIB).
Aim of Study: To assess for how much the adopted proto-cols of management of children with upper gastrointestinal bleeding were applied at Gastroenterology & Hepatology Unit of Assiut University Children Hospital.
Patients and Methods: This study is a an audit on man-agement of children with upper gastrointestinal bleeding admitted to pediatric Gastroenterology and Hepatology Unit, Assiut University Children Hospital during the period from the 1st of March 2016 to the 28th of February 2017 and it included 80 children with hematemesis.
Results: Detailed history intake was recorded in most cases except history of drug intake which was not recorded in 30% of cases, history of epigastric pain and food pain relationship were not recorded in 38.7% of cases. Data of examination were recorded in 100% of cases. Basic and mandatory investigations in diagnosis of hematemesis were done in 100% of cases except coagulation profile and liver function tests and upper endoscopy. The standard treatment of hematemesis has been applied in most treatment lines except admission to the Intensive Care Unit. Also intravenous vitamin K was not given to all patients.
Conclusion: The international guidelines for the manage-ment of hematemesis have been followed by the Gastroenter-ology and Hepatology Unit of Assiut University Children Hospital in most treatment lineswith some defaults due to poor resources and lack of medication.