Endoscopic Findings in Patients Presenting with Upper Gi Bleeding
Jawad khan and Saira Nasr Malik*
Police and Services Hospital Peshawar, Khyber Teaching Hospital, Peshawar
*Corresponding Author: Saira Nasr Malik, Police and Services Hospital Peshawar, Khyber Teaching Hospital, Peshawar.
Received:
April 26, 2022; Published: June 18, 2022
Abstract
Background and Aims: Upper GI bleeding is one of the commonest emergencies in gastroenterology having high morbidity and mortality. It has multiple causes from mild to severe outcome. The aim of this study was to evaluate endoscopic finding in patients presenting with upper GI bleeding.
Methods: This is retrospective study which was conducting in police and services hospital and Khyber teaching hospital Peshawar from February 2021 to november 2021. All the patients presenting with upper GI bleeding was evaluated and reviewed along with their records. Data were analysed and entered using SPSS 20.
Results: Total number of patients were 430(225 males and 205 females) who underwent endoscopy presenting with upper GI bleeding. Main age of study population was 52 years with standard deviation of 15 years. Age of the youngest was 15 years while that of oldest was 85 years. More than half of the patients 224 (52%) were in between 41 to 60 years. The commonest endoscopic finding was esophageal varices 224 (52%), followed by portal hypertensive gastropathy 64 (15%), erosive gastritis 43(10%) and fundal varices 34(8%), and. Esophageal varices, gastropathy, gastric ulcers and upper GI malignancies were more in male patients as compared to female patients (p = 0.039) presenting with upper GI bleeding. While portal hypertensive Gastropathy, erosive esiphagitis and gastric ulcer were more present in female patients. Variceeal bleed has having greater dominancy in middle age group (p = 0.000). Whereas erosive gastritis, gastric ulcer, and gastric erosions were more present in increased frequency in older (>65 years) UGIB patients (p = 0.000).
Conclusion: UGIB was in higher frequncy in male patients as compared to females. In our study, esophageal variceal was the major cause of UGIB in this southasian countries while duodenal ulcer bleed was not as common as it is present in other parts of the world. Variceal bleeding was significantly associated with male patients having middle age groups While bleeding from duodenal ulcer was highly associated with older ages.
Keywords: Endoscopic; Gi Bleeding; UGIB; Patients Presenting
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