Profile of nonvariceal upper gastrointestinal: Bleeding in a tertiary referral hospital

Rodrigues, Gabriel and Shenoy, R and Rao, A (2004) Profile of nonvariceal upper gastrointestinal: Bleeding in a tertiary referral hospital. The Internet Journal of Surgery, 5 (2). pp. 1-7. ISSN 1528-8242

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Background: Upper gastrointestinal bleeding is one of the most commonly encountered emergencies in day-to-day practice, of which, variceal bleed secondary to portal hypertension is well known and documented with various protocols for its management. In this study, an attempt has been made to define the various causes of nonvariceal upper gastrointestinal bleeding, to outline management modalities and to determine the final outcome of patients. Methods: A retrospective analysis of patients presenting with upper gastrointestinal (UGI) bleeding between January 1998 to December 2001 (4 years) was conducted. A total of 180 patients were considered, of which 60 were excluded due to endoscopically proven variceal bleeding. Of the 120 patients, the various causes were determined by different investigations and were treated by a multimodality approach. Results: Out of the 120 patients, most of the patients belonged to an age group of more than 50 years (mean age - 48.5 years). Haematemesis was the most common presentation and Acute Gastric Mucosal Lesion (AGML) was the most frequently encountered lesion. The cause of bleeding was not identified in 10 patients (undetermined group). Twenty-two patients (18.3%) underwent surgery and we had an over-all mortality of 15.8% (19 patients). Conclusion: Nonvariceal UGI bleeding is common, the cause of which needs to be determined early. There is a male preponderance and the incidence and mortality increases with advancing age. AGML being the leading cause can be managed conservatively most of the time. Rare and unrecognized causes of nonvariceal UGI bleeding are not rare and the undetermined group remains a diagnostic problem.

Item Type: Article
Subjects: Medicine > KMC Manipal > Surgery
Depositing User: KMC Manipal
Date Deposited: 23 Jun 2015 11:51
Last Modified: 23 Jun 2015 11:51

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