Upper Gastrointestinal Bleeding; Endoscopic Findings in Patients

Abstract

ABSTRACT… Background: Upper gastrointestinal bleeding (UGIB) is a common medical condition requiring mostly hospitalization and resuscitation. Patients with upper GI bleeding have high morbidity. The investigation of choice in upper GI bleeding is upper GI endoscopy, because endoscopy has good, the complication rate with endoscopy are low, another advantage of using endoscopy is therapeutic interventions as well. The causes of upper GI bleeding are numerous most frequent causes being in decreasing order of frequency peptic ulcer, esophageal varices, mallory-weis tears. Other causes include tumors, erosions and arterio-venous malformations.3 Objectives: To determine the endoscopic findings in patients presenting with UGIB and frequency of various findings among these patients according to gender and age in medical ward of Allied Hospital Faisalabad. Study Design: Retrospectively reviewed and analyzed. Setting: Medical Unit 2 of Allied Hospital Faisalabad. Period: 06 month between January 2015 to June 2015. Methods: The record of 120 patients who underwent endoscopy for upper gastrointestinal bleeding. Results: Data was collected and entered on SPSS. Statistical data analysis was performed with chi-square. Statistical significance was determined at P< 0.05. Information obtained from upper gastrointestinal endoscopy were then recorded according to age, gender and presented in form of tables. Conclusions: It has been found that esophageal varices was the most commonest cause of upper gastrointestinal bleeding in the study probably due to the high prevalence of hepatitis infection and chronic liver disease in our population. Key words:Upper gastrointestinal bleeding (UGIB), Esophageal varices, Fundal varices.

The diagnostic accuracy of triphasic abdominal CT in detecting esophageal varices

“…Esophageal varices, from portal hypertension, affect up to 40% of cirrhotic patients, with a 10%-30% annual hemorrhage risk and a 20%-35% mortality rate at rst bleeding (4)(5)(6)(7). Liver cirrhosis from Hepatitis B, alcohol, and schistosomiasis are major risk factors for portal hypertension (2,3,(8)(9)(10)(11).…”