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ORIGINAL ARTICLE
Year : 2022  |  Volume : 17  |  Issue : 3  |  Page : 548-551

An observational study about incidence of upper gastrointestinal bleeding, endoscopic profile of patients in tertiary care hospital


1 Department of General Surgery, D. Y. Patil Education Society (Deemed to be University), Kolhapur, Maharashtra, India
2 Department of General Surgery D. Y. Patil Medical College, D. Y. Patil Education Society (Deemed to be University), Kolhapur, Maharashtra, India

Correspondence Address:
Dr. Abhay D Chougale
Department of General Surgery, D Y Patil Medical College, D Y Patil Education Society (Deemed to be University), Kolhapur - 416 006, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_188_20

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Background: Despite treatment advancement of upper gastrointestinal bleeding (UGIB), overall mortality has still remained constant and the reasons behind it are still unclear. Aim: The aim is to study the endoscopic profile of patients suffering from UGIB in a tertiary care hospital. Materials and Methods: Observational study conducted among consenting patients, undergoing Esophago gastro duodenoscopy in the department of general surgery at a tertiary care hospital, between November 2018 and April 2019. Cases included were (n = 86). Standard case history pro forma was used for data collection. Interventions were given in the form of pharmacotherapy, endoscopic band ligation, and sclerotherapy. Follow-up was done after 2 months. Data were analyzed using R software version 3.6.0. Chi-square test used to find the association between variables (P < 0.05). Results: Most patients were male (n = 78) with a mean age of 48.05 ± 14.96 years. Common complaints were of melena (n = 71). History of cases included in this study; history of alcoholic liver disease (n = 35), long-term use of nonsteroidal anti-inflammatory drugs (NSAIDS) (n = 26). The common causes for GI bleeding were esophageal varices (n = 52). Significant association was observed between diagnosis and alcoholic liver disease (P = 0.004), history of long-term NSAIDS (P = 0.002), respectively. All cases were given pharmacological intervention. Higher statistically significant association found between follow-up and sclerotherapy(P = 0.0004). Association was seen between the number of interventions and follow-up (P = 0.016). Adverse event in form of bleeding was seen in 1.2% of cases. Conclusion: The most common cause of UGIB was esophageal varices. Combination of interventions could provide solution to reduce mortality in cases of UGIB.


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