The clinical significance of upper gastrointestinal bleeding etiology score in determining variceal bleeding

Ali, Farhan; Bhatti, Adnan Bashir; Satti, Siddique Akbar; Satti, Tariq Mahmood

doi:10.4236/ojgas.2014.41008

Cited by 1 publication

(1 citation statement)

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“…Similar prevalence studies are done in India as well as from other developing countries. [9][10][11][12][13][14][15][16][17] As studies are from different geographical locations and having different infrastructural facilities, results in relation to causes, clinical profile and outcome may vary. Table no 6 shows analysis of different studies having almost similar objectives of their research.…”

Section: Discussionmentioning

confidence: 99%

Study of Aetiology, Clinical Profile and Endoscopic Findings of Patients With Upper Gastrointestinal Bleeding- A Study From Rural Base Multispecialty Teaching Hospital

Kumar¹,

Lakhani²,

Shah³

et al. 2019

jebmh

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BACKGROUNDUpper gastrointestinal bleeding (UGIB) is one of the common life-threatening emergency hospital admissions. Upper GI Endoscopy is one of the common diagnostic examinations for identifying the cause of bleeding in our as well as in resourcelimited setup which ultimately help a clinician for "resource-sensitive approach". METHODSThis observational study (2015)(2016)(2017) of upper gastrointestinal bleeding (UGIB) was performed at rural based multispecialty teaching hospital in consecutive 115 adult admitted patients (age>12 years) to find out aetiology and clinical as well as esophagogastroduodenoscopic profile. RESULTSOf 115 patients of UGIB, 75 were male (65.21%) and 40 female (34.78%). Mean age was 42.06 ±16.31. 77 (66.95%) presented with hematemesis, 21 (18.26%) with melena, 16 (13.91%) with hematemesis combined with melena and 1 patient presented with hematemesis as well as haematochezia. Endoscopy was able to detect definite cause of UGIB in 104 and in 11 patients it was normal (90.43%). Variceal bleed was commonest and was present in 48 patients, of whom 44 patients (38.26%) had oesophageal, 02 had gastric and other 2 had both oesophageal as well as gastric varices. In non-variceal bleeding, gastric and duodenal ulcer disease was present in 12, esophagitis in 10, oesophageal vascular ectasia in 02, erosive gastritis in 17, gastric malignancy in 04; Mallory Weiss tear in 06, erosive gastritis with duodenitis in 04, and esophagitis with gastric ulcer and duodenal ulcer in 01. 10 of 17 patients who had erosive gastritis gave history of NSAID use. Of the 48 patients who had variceal bleeding, 33 were due to cirrhosis of liver, and 15 were because of non-cirrhotic portal hypertension. Aetiology of 33 patients, who had hospital admission due to cirrhosis of liver related UGIB, was alcohol, hepatitis B, and hepatitis C in 29, 2 and 1 patients respectively. 81 (70.43%) had acute bleeding while 34 (29.56%) had recurrent bleeding. 17 patients were admitted in 2015, 45 in 2016 and 53 in 2017 for UGIB. There was no seasonal variation in incidence of UGIB.

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