In the emergency department, the diameter of the inferior vena cava and aorta with ultrasonography in upper gi bleeding

Aim: It was aimed to to investigate the use of USG imaging of the inferior vena cava (vci) and aortic diameter in predicting hospitalization in patients diagnosed with upper gi bleeding. Material And Methods: Forty-five patients over the age of 18 with upper gi bleeding who applied to the emergency department between 01/02/2019 and 01/10/2019, and 45 volunteers without hypovolemia as the control group were included in the study. VCI and aortic diameters of the patients were recorded prospectively using USG. Results: While the mean age in the patient group was 67 +/- 19 years, it was calculated as 74 +/- 9 years for the control group. The mean values of VCI expiratory, inspiratory diameters and VCI collapse index in the control group and patient group were respectively 18.47 +/- 2.5 mm, 15.2 +/- 2.4 mm and 0.18 +/- 0.06; 15.56 +/- 3.6 mm, 13.2 +/- 3 mm and 0.15-0.12. The mean values of aortic suprarenal and infrarenal diameters in the control group and patient group were respectively 24.3 +/- 2.2 mm and 21.7 +/- 2.3 mm; 19.0 +/- 3.6 mm, 17.0 +/- 3.4 mm. When all these parameters were compared with the control group, statistically significantly lower values were recorded in the patient group (p<0.001). Discussion: In our study, vci diameter, aortic diameter, and vci collapsibility index values were lower in patients with upper gi bleeding, and although they can be used as an aid in the diagnosis of the disease in the emergency department, these low values were not found to be associated with the hospitalization or discharge decision of the patients.