An Etiological Study of Upper Gastrointestinal Bleeding | [Journal of Rawalpindi Medical College • 2012]

Author(s):

1. Sohail Bhutta: Department of Medicine, POF Hospital Wah and Wah Medical College, Pakistan

2. Muzamil Jamil: Department of Medicine, POF Hospital Wah and Wah Medical College, Pakistan

3. Kamran Aziz: Department of Medicine, POF Hospital Wah and Wah Medical College, Pakistan

4. Wasim uddin: Department of Medicine, POF Hospital Wah and Wah Medical College, Pakistan

Abstract:

Background: To determine the causes of upper gastrointestinal bleed in patients undergoing endoscopy Methods: In this prospective descriptive study 147 naive patients, with first episode of upper gastrointestinal bleeding, who underderwent endoscopic examination within 24 hours of their admission were included. Results:Mean age was 52.8 years. Majority ( 64.5%) were male. 30.6% patients had either a single or multiple duodenal or gastric ulcers. Thirty one (21%)patients had bleeding lower esophageal varices (LEV) or gastric varices. Another 3.4% patients had bleeding peptic ulcer in presence of non bleeding LEV . Duodenitis, gastric erosions and erosive gastritis were found in 18.4% . In 12.2% patients no cause of upper GI bleed was found. Conclusion: Peptic ulcer was found to be the commonest cause of upper GI bleed(34%). Gastro esophageal varices (21.1%) was the second commonest cause. Duodenitis, gastric erosions and erosive gastritis were among the less common causes(18.4%).

Page(s): 31-33

DOI: DOI not available

Published: Journal: Journal of Rawalpindi Medical College, Volume: 16, Issue: 1, Year: 2012

Keywords:

peptic ulcer , Upper GI bleed

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