Salla Surya Prakasa Rao1, Tirupati kedar2, Paidi Sailaja3, Ravindra Dev Vechalapu4
BACKGROUND
Vomiting of blood almost always proximal to the ligament of Treitz is the upper gastrointestinal haemorrhage. The incidence of acute upper gastrointestinal haemorrhage has been estimated to be 50-100 per 1,00,000 person per year, with an annual hospitalization rate of approximately 100 per 1, 00,000 hospital admission. This study is to find out the prevalence of nature of lesion on Upper Gastrointestinal Endoscopy in patients admitted for Gastrointestinal bleeding. (UGI Bleed).
MATERIALS AND METHODS
Place of Study- Department of General Medicine, Andhra Medical College, Visakhapatnam, India.
Type of Study- Prospective study.
Period of Study- July 2015 to August 2016.
RESULTS
The Results Study on Endoscopic Findings in Upper Gastro Intestinal Bleed are
1. The peptic ulcer disease was the most common lesion found on endoscopy with prevalence of 54%.
2. Varices contributes second common lesion, next to peptic ulcer disease in UGI bleed with prevalence of 16%.
3. Minor UGI bleed was the commonest presentation. Majority of lesions (60%) presented with minor UGI bleed, 28% lesions presented as moderate UGI bleed. Only 8% presented as major UGI bleed.
4. Varices account for the most common cause for major UGI bleed contributing 50%.
5. Gastric ulcer was commonest lesions accounting for 37 cases (37%) among 72 cases having single acid peptic lesions on endoscopy. The second most common is duodenal ulcer (31%).
6. Multiple lesions were found in 10% of cases. Peptic ulcer lesions were found in 20% of total number of varices cases.
CONCLUSION
Peptic ulcer disease was found to be most common lesion causing UGI bleed, with most common presentation as minor UGI bleed and variceal bleed being most common cause of major UGI bleed.
