Cirrhotic Patients; Prevalence of Portal Hypertensive Gastropathy Undergoing Upper Gastrointestinal Endoscopy at a Tertiary Care Hospital in Shaheed Benazeerabad

Abstract

ABSTRACT… Objectives:The aim behind this study was to determine the prevalence of portal hypertensive gastropathy in cirrhotic patients undergoing upper gastrointestinal endoscopy at a tertiary care hospital in Shaheed Benazeerabad. Study Design: Hospital based cross sectional study. Setting: Medicine Department of People's Medical University, Shaheed Benazeerabad. Period: Six months from 20 th August 2014 to 21 st February 2015. Material and Methods: A total of 115 patients presenting with variceal bleeding (having history of liver cirrhosis since >2 years) and who further was undergoing diagnostic Endoscopic gastrodudenoscopy were enrolled in the study. All endoscopies were performed by the endoscopists using a GIFQ 160 Gastroscope (Olympus, Tokyo, Japan) in the left lateral position. The presence or absence of PH gastropathy (outcome variable) was noted at each endoscopy. SPSS version 17.0 was used to analyze the collected data. Results: The average age of the patients was 39.98±11.02 years and mean duration of liver cirrhosis was 4.62±1.5 years. There were 70 (60.87%) male and 45 (39.13%) were female. Regarding socioeconomic status, most of the cases were in lower and middle class. Frequency of portal hypertensive gastropathy (PHG) in patients of liver cirrhosis undergoing upper gastrointestinal endoscopy was observed in 60% (69/115) cases. Conclusion: The frequency of PHG was 60% in the studied group of cirrhotic patients. This concludes that if in the liver cirrhosis patients early identification and appropriate therapeutic measures of PHG is taken the morbidity in these patients can be decreased.