Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles
 

Open Access

Original Article



Endoscopic Evaluation of Upper Gastrointestinal Bleeding in Patients Presenting with Hematemesis within 24 Hours of Admission

Aslam Ghouri, Santosh Kumar, Safia Bano, Soniha Aslam, Muhammad Hanif Ghani.

Abstract
OBJECTIVE: To evaluate with endoscopy the common causes of upper gastrointestinal
bleeding in patients presenting with hematemesis within 24 hours of admission.
DESIGN: A cross sectional observational study.
SETTING: Medical unit III, LUMHS Jamshoro.
DURATION: Six months from 1st Jul, 2014 - 31st Dec, 2014.
METHODS: One hundred cases of hematemesis were included in the study. Patients who
refused endoscopy and those on NSAIDs, anticoagulants & steroids were excluded from study.
Upper gastrointestinal endoscopy was performed within 24 hours of admission.
RESULTS: Out of 100 patients selected, 51 (51%) were males and 49 (49%) females. Majority of
patients were between 30-60 years with mean age of 43.97 years ±SD 7.8. Variceal bleed was
the most common cause n=54 (54%) followed by peptic ulcer disease (PUD) n=20 (20%).
Esophagitis was noted in ten (10%) patients, gastric erosions in nine (9%), tumors of upper
gastrointestinal tract in six (6%) and Mallory-Weiss tear was responsible in only one (1%) cases.
CONCLUSION: Variceal bleeding secondary to portal hypertension is the most frequent cause
of bleeding in upper gastrointestinal tract. Increased prevalence of hepatitis B virus (HBV) and
hepatitis C virus (HCV) in this part of the world has resulted in increased incidence of liver
cirrhosis and portal hypertension highlighting the importance of prevention of HBV and HCV.

Key words: Upper gastrointestinal bleeding, Varices, Peptic ulcer disease, Endoscopy, Hepatitis.



Similar Articles

Exploring the Alzheimer's disease neuroepigenome: recent advances and future trends.
Zhang H, Elefant F
Neural regeneration research. 2022; 17(2): 325-327

Growth differentiation factor 5: a neurotrophic factor with neuroprotective potential in Parkinson's disease.
Goulding SR, Anantha J, Collins LM, Sullivan AM, O'Keeffe GW
Neural regeneration research. 2022; 17(1): 38-44

Differentiating Human Pluripotent Stem Cells to Vascular Endothelial Cells for Regenerative Medicine, Tissue Engineering, and Disease Modeling.
Bertucci T, Kakarla S, Kim D, Dai G
Methods in molecular biology (Clifton, N.J.). 2022; 2375(): 1-12

Presenilin mutations and their impact on neuronal differentiation in Alzheimer's disease.
Hernandez-Sapiens MA, Reza-Zaldívar EE, Márquez-Aguirre AL, Gómez-Pinedo U, Matias-Guiu J, Cevallos RR, Mateos-Díaz JC, Sánchez-González VJ, Canales-Aguirre AA
Neural regeneration research. 2022; 17(1): 31-37

SYNGR4 and PLEKHB1 deregulation in motor neurons of amyotrophic lateral sclerosis models: potential contributions to pathobiology.
Marques RF, Duncan KE
Neural regeneration research. 2022; 17(2): 266-270


Full-text options


Latest Statistics about COVID-19
• pubstat.org


Add your Article(s) to Indexes
• citeindex.org






Covid-19 Trends and Statistics
ScopeMed.com
CiteIndex.org
CancerLine
FoodsLine
PhytoMedline
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.



ScopeMed Web Sites