Background:Astudy describing the endoscopic prole of upper gastrointestinal bleeding in a tertiary care centre.
Aim:The aim was to study endoscopic prole in patients presenting with upper GI bleeding.
Introduction: Upper gastrointestinal bleeding is a common medical emergency associated with signicant morbidity and mortality. The
presentation of bleeding depends on the amount and location of bleed. The primary diagnostic test for evaluation of upper gastrointestinal bleeding
is endoscopy. The aim was to study endoscopic prole in patients presenting with upper GI bleeding.
Methods: This is a cross sectional study data conducted in Department of Gastroenterology DDHD Anna nagar Chennai from January 2019 to
January 2020 . In this patients presenting with manifestations of upper gastrointestinal bleed were included and were subjected to upper GI
endoscopy.
Results: Atotal of 160 patients presenting with hematemesis and melena were studied. 124(77.5%) were males and 36(22.5%) were females. The
mean age was 47.15 ± 17.12 . The most common ndings on endoscopy of upper gastrointestinal bleeding was portal hypertension related
(esophageal and gastric varices, portal hypertensive gastropathy ) seen in 40% of patients, gastric erosions in 17.5% patients, peptic ulcer disease
was seen in 13.75%, Esophagitis in 6.25% cases, Mallory-Weiss tear was seen in 6.25% patients, gastric malignancy in 5% patients, post EVL
ulcers in 3.75% patients, Normal study in 3.75%, Duodenal erosions in 2.5% patients, Vascular ectasia of stomach in 1.25%.
Conclusion: The present study reported portal hypertension as the most common cause of upper gastrointestinal bleeding, while most common
endoscopic lesions reported were esophageal varices, followed by gastric erosions and peptic ulcer.
Clinical study on hysterectomy for AUB as surgical management at tertiary care centre GGH, Kakinada
