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Category: Volume 07 Issue 12 December 2019
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Title: Study of Clinical and Endoscopic Profile of Patients with Acute Upper Gastrointestinal Bleed

Authors: Dr Love Garg, Dr Arjun Lal Kakrani, Dr Varsha Bhatt, Dr Manasi Harale

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.62

Abstract

Background: Acute upper gastrointestinal bleeding is a common medical emergency with an estimated incidence of 50-150 cases per one lakh annually and it has been noted as a major cause of hospital admission and deaths worldwide ranging from 0.9% to 26.5%.Hence, this study was aimed to know the clinical and endoscopic profile of patients presenting with acute upper GI bleed to our hospital and their possible etiologies.

Methods: This hospital based observational and cross-sectional study included sixty patients aged 18 years and above admitted in Department of General Medicine during the study period who presented with hematemesis or melena or both within 7 days.

Results: Among 60 patients, males were predominant (86.7%). Mean age of presentation was 41.93 ± 15.16 years. Most patients presented with both hematemesis and melena (51.7 %), 41.7 % patients had hematemesis only and 6.7 % patients had melena only. In our study, oesophageal varices were seen in 51.6 % patients, portal hypertensive gastropathy in 33.3 % patients, gastric ulcers in 11.7 % patients and duodenal ulcers in 5 % patients.

Conclusion: The majority of patients belonged to age group of 31-40 years with a male predilection and variceal bleed was the most common cause of Upper GI bleeding.

Keywords: Upper GI bleeding, oesophageal varices.

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Corresponding Author

Dr Love Garg

C1-1106 Mahindra Antheia, Nehrunagar, Pimpri, Pune-411018, India