Endoscopic Diagnosis in Patients with Acute Upper Gastrointestinal Bleeding
Abstract
Objective: To determine the causes of acute upper gastrointestinal bleeding using upper gastrointestinal endoscopy.
Patients and Method: This cross-sectional study was conducted at Peoples University of Medical and Health Sciences (PUMHS), Lakyari Endoscopic suit, Nawabshah from Jan 2015 to March 2016. Patients presenting with acute upper gastrointestinal bleeding were inducted in the study. After stabilizing the patients, upper gastrointestinal endoscopy was performed. Data was entered and analyzed by statistical software package SPSS version 10.0. Mean ± SD was calculated for quantitative variables and qualitative variables like gender and endoscopic findings were expressed as frequencies and percentages.
Results: Out of 208 patients, 139 (67%) were males and 69 (33%) were females. Mean age of the patients was 52.77±14.5 SD years. Haematemesis was the main presenting complaint followed by melena. Bleeding related to portal hypertension was present in 112 (53.84%) patients, followed by peptic ulcer disease in 74 (35.57%) patients. Malignant lesions were present in 11(5.28%) patients while miscellaneous lesions were found in 11(5.28%) patients.
Conclusion: Gastro esophageal variceal bleeding was the leading cause of upper GI bleeding followed by ulcerative disease.
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