STUDY OF AETIOLOGY, CLINICAL PROFILE AND ENDOSCOPIC FINDINGS OF PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING- A STUDY FROM RURAL BASE MULTISPECIALTY TEACHING HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 15
Abstract
BACKGROUND Upper 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”. METHODS This observational study (2015-2017) 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. RESULTS Of 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. CONCLUSIONS Esophagogastroduodenoscopy is one of the very important diagnostic tools to find out aetiology of UGIB. This facility should be available widely at health centers of India which may help clinicians for better management of UGIB.
Authors and Affiliations
Santosh Kumar, Jitendra D. Lakhani, Chaitri Shah, Meera Shah Praful
Keywords
Related Articles
- EP ID EP615976
- DOI 10.18410/jebmh/2019/247
- Views 75
- Downloads 0
RELATIONSHIP OF PROINFLAMMATORY CYTOKINES WITH MICROALBUMINURIA IN PATIENTS OF TYPE 2 DIABETES MELLITUS- IMPLICATIONS IN THE PATHOGENESIS OF DIABETIC NEPHROPATHY
BACKGROUND Type 2 diabetes mellitus is frequently associated with an increased inflammatory state. However, the relationship between of low grade inflammation and diabetic nephropathy still remains unclear with conflicti...
ATTITUDE AND KNOWLEDGE OF MEDICAL STUDENTS ON PRACTICAL ASPECTS OF FORENSIC MEDICINE
This study explored medical students’ knowledge and attitude on the medico-legal autopsy demonstrations which formed part of their training in Forensic Medicine. 300 students of 2010, 2011 and 2012 batch of college were...
RANDOMISED COMPARISON OF THREE PAP SMEAR COLLECTION METHODS
Worldwide, According to statistics every year 8,000,000 new cases of cancer are diagnosed and about 5,000,000 people die from the disease. The early diagnosis will play a great role in reducing the mortality and morbidit...
A STUDY ON THE INFLUENCE OF ENVIRONMENTAL FACTORS IN RHEUMATOID ARTHRITIS
BACKGROUND Rheumatoid arthritis is a common rheumatological disorder of unknown cause. The development of rheumatological disorders like rheumatoid arthritis depends on the interaction between genetic background and numb...
A CLINICAL STUDY ON FUNCTIONAL OUTCOME AFTER COMBINED ARTHROSCOPIC AND FLUOROSCOPIC ASSISTED REDUCTION AND INTERNAL FIXATION OF CLOSED TIBIAL PLATEAU FRACTURES IN ADULTS
BACKGROUND AND INTRODUCTION: Management of tibial plateau fractures had witnessed tremendous improvement in surgical techniques over the past decades. Conservative treatment of these fractures results in consistently poo...