Endoscopic Evaluation by Lanza Score of The Upper Gastrointestinal Bleeding in Patients Under Long-term Low-dose Aspirin For The Prevention of Cardiovascular Events

introduction: low dose aspirin is widelybused for the prevention of cardiovascular events but despite its beneficial effects, it can generate more or less serious digestive disorders. the aim of this study was to evaluate endoscopically by the lanza score the gastroduodenallesions in patients on long dose aspirin with upper gastrointestinal bleeding Materials and methods and result: Among 2135 cases of UGB admitted to emergency departments in the same period, 134 cases occured in patients with low dose aspirin average age: 65.3+/- 24.7 years, sex ratio: 2.3 F/ M. At endoscopic examination: bulbar ulcer in 44/134 (32.9%), antral ulcer in 39/134 (29%) and erosive bulbar duodenitis in 29/134 (21.6%). Stages 3 and 4 of the lanza classification were observed in n95/134 (71%). Conclusion: In this work, women over 65 are the most concerned. bulbar and antral ulcers are the most frequent lesions, and stages 3 and 4 are the most frequent of the lanza score.