scholarly journals UPPER GASTROINTESTINAL BLEED;

2016 ◽  
Vol 23 (10) ◽  
pp. 1247-1251
Author(s):  
Salman Shakeel ◽  
Muhammad Imran Hasan Khan ◽  
Ghias Un Nabi ◽  
Ehsan Ullah ◽  
Asif Mehmood ◽  
...  
Keyword(s):  
Female Ratio ◽  
Gi Endoscopy ◽  
Gastrointestinal Bleed ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Upper Gastrointestinal Bleed ◽  
Number Of Patients ◽  
And Gender ◽  
Gi Bleed ◽  
Upper Gastrointestinal

Acute Upper Gastrointestinal Bleed (UGIB) is a globally prevalent medicalemergency and is a major cause of mortality. It may manifest as Hematemesis, Melena orHemetochezia. The most common causes of UGIB are Esophageal Varices (EV) and PepticUlcer Disease (PUD). Upper GI endoscopy (EGD) is the preferred procedure for investigation.Objectives: This study was carried out to identify patterns of endoscopic findings in patientswith UGIB and its frequency according to age, gender and symptoms in our setup. StudyDesign: It was a single centered retrospective analysis. Setting: Endoscopy floor of LahoreGeneral Hospital, Lahore for evaluation of Upper GI Bleed. Period: January 2010 to December2013. Material & Methods: 3910 patients were brought to the GI Endoscopy. Data wascollected from the endoscopy records on demographics (age and gender) and history of UGIB.The endoscopic findings were then evaluated. Results: 58.3% were male and 41.7% werefemale; male to female ratio was (1.4:1). The mean age was 43.4 years for males and 46.9 yearsfor females. (58%) had hemetemesis, (21%) had melena, (19%) had both hemetemesis andmelena. (2%) had hemetochezia. EV (69.2%) was the commonest cause of UGIB followed byPUD (20.6%). 4.3% of patients had a normal endoscopy and 2.5 % had Growth in upper GI tract.Conclusions: EV was the commonest cause of UGIB in our setup, as compared to the westernworld, where PUD was more common. Probable reason could be the high prevalence of livercirrhosis in our population. A good number of patients had a normal endoscopy, suggestingphysicians to obtain detailed history prior to the procedure.

scholarly journals Study of clinical and endoscopic profile of dyspepsia and upper gastrointestinal bleed

2019 ◽  
Vol 6 (1) ◽  
pp. 106
Author(s):  
Akash Rajender ◽  
Priyanka Choudhary ◽  
Saumya Mathur ◽  
Rajat Bhargava ◽  
Shalini Upadhyay ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Malignant Lesion ◽  
Gi Endoscopy ◽  
Gastrointestinal Bleed ◽  
Upper Gi ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gi Endoscopy ◽  
Gi Bleed ◽  
Gandhi Medical College ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal bleed (UGIB) and dyspepsia are the commonest indications for an upper GI endoscopy (UGIE), which has the potential to provide both diagnostic and therapeutic intervention. Alarm symptoms in patients with dyspepsia need proper evaluation.Methods: In an observational hospital-based study, 5117 patient undergoing upper GI endoscopy were evaluated at Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India. Detailed clinical and endoscopic profile was evaluated for subjects with dyspepsia and UGIB. Statistical analysis was done using SPSS version 21.0.Results: Dyspepsia (2887, 56.41%) followed by upper GI bleed (1124, 21.97%) were the most common indications for UGIE. In subjects presenting with UGIB, most patients had both hematemesis with Malena (48.04%), 48.93% were chronic alcoholics and nearly one fourth (26.96%) were on NSAIDS. Variceal bleeding (52.94%), followed by peptic ulcer bleed (13.43%) were the most common causes of bleed. In subjects undergoing UGIE for dyspepsia, 37.41% revealed no endoscopic lesion followed by gastro-duodenitis (25.01%). Peptic ulcer was cause of dyspepsia in 18.05% and was significantly more in those with alarm symptoms (<0.001). Alarm symptoms in dyspepsia has a significant high likelihood of finding a malignant lesion on endoscopic evaluation (p 0.013).Conclusions: Variceal bleed is the most common cause of UGIB in the adult Indian population. In patients with dyspepsia, presence of alarm symptoms is significantly associated with organic lesion on endoscopy. Although the incidence of malignancy is low, endoscopy in more than 50years subjects presenting with dyspepsia may help in early diagnosis and reducing morbidity.

scholarly journals Upper GI Endoscopy in Children: An Experience from Bangabandhu Sheikh Mujib Medical University (BSMMU)

2017 ◽  
Vol 40 (1) ◽  
pp. 17-20
Author(s):  
Md Wahiduzzaman Mazumder ◽  
Md Rukunuzzaman ◽  
Atiar Rahman ◽  
SM Baqui Billah ◽  
Kaniz Sultana ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Common Finding ◽  
Gi Bleeding ◽  
Gi Endoscopy ◽  
Upper Gi Bleeding ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Post Procedure ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal (UGI) endoscopy is a safe and sensitive investigation in the diagnosis of upper gastrointestinal diseases. There is limited study on paediatric upper GI endoscopy in our country. This study was done only in BSMMU, a tertiary care health facility of Bangladesh.Objectives: The aim of the study was to find out the indications, common endoscopic findings and immediate post procedure complication of UGI endoscopy in children.Methods: This is a retrospective analysis of 100 patients from August 2013 to October 2014. The indications for UGI endoscopy, common endoscopic findings and immediate post procedure complications were collected from case recording &were analyzed.Results: The commonest indication was upper GI bleeding in the form of hematemesis with or without melenae (41%). The most common finding was esophageal varices (49%). Less common findings were esophagitis, gastritis & gastro-duodenal ulcer. There was no post procedure complication.Conclusion: In the study, the commonest indication for Pediatric UGI endoscopy was upper GI bleeding and the commonest endoscopic abnormality was esophageal varices. No immediate post procedure complication was noted in the study.Bangladesh J Child Health 2016; VOL 40 (1) :17-20

Variceal Bleeding is Leading Cause of Upper GI Bleed: A Study from Northern Part of Pakistan

2021 ◽  
Vol 15 (7) ◽  
pp. 1837-1839
Author(s):  
Tanveer Ahmed ◽  
Mustafa Kamal ◽  
Ramish Riaz ◽  
Mashhood Ali
Keyword(s):  
Hepatitis C ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Age Group ◽  
Gastrointestinal Bleed ◽  
Upper Gi ◽  
Variceal Bleed ◽  
History Of ◽  
Gi Bleed ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal bleeding (UGIB) is a leading cause of hospitalization in medical emergencies around the world, with a high death and morbidity rate. In all cases of upper gastrointestinal bleeding, endoscopy is the primary diagnostic tool. Key management of depends on diagnosing the exact cause of disease. Methodology: This descriptive study was carried out at Gastroenterology Department, PIMS, Islamabad from January 2019 to December 2019. All patients having history of upper gastrointestinal bleed were included in the study. Patients unfit for endoscopy i.e. with perforation, peritonitis, comatose needing intubation and those unwilling to undergo the procedure were excluded. Total 490 patients fulfilled the criterion. The cause of GI bleed was noted upon endoscopy. Data was noted on set performa and further statistical analysis was performed via SPSS v 26. Results: Among 490 patients, 298 (61%) were males while 192 (39%) were females. Most common age group presenting with upper GI bleed belongs to old age group i.e. had age above 60 years (n=235, 47.9%) followed by 40 to 59 years (n=174, 35.5%).Most common cause of upper GI bleed was found to be variceal bleed (n=292, 59.5%), followed by ulcer bleed (n=88, 18.0%) and stomach cancer (n=28, 6%). In 82 (17%) cases no reason for gastrointestinal bleed could be found out. Chi-square test showed Variceal bleed to be the most significant reason (χ2=65.2, P-Value<0.001) of Upper GI bleed. Conclusion: Variceal bleed is the most significant cause of upper GI bleed in our study population. This trend can be attributed to increased prevalence of hepatitis C in Pakistan. Special attention to the patient’s symptoms especially with history of HCV can help in early diagnosis and timely management. Keywords: Variceal Bleed, Upper GI Bleed, Endoscopy, Ulcer, Hepatitis C.

scholarly journals Upper Gi Endoscopy-indications and Findings at Tertiary Care Hospital Hyderabad/Jamshoro

2021 ◽  
pp. 46-50
Author(s):  
Jalpa Devi ◽  
Muhammad Akram Bajwa ◽  
Nasrullah Aamer ◽  
Rabia Farooque ◽  
Hira Laghari ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Esophageal Varices ◽  
Chronic Liver ◽  
Care Hospital ◽  
Gi Endoscopy ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Gi Bleed

Objective: To document different indications and findings of upper GI Endoscopy in our endoscopy suite. Methods: A descriptive study of 500 patients who underwent upper gastrointestinal (UGI) endoscopy was conducted in the Endoscopy Unit of PNS DRIGH LUMHS Jamshoro and Civil Hospital Hyderabad from April to September 2020. Included patients underwent UGI endoscopy. Demographic data including indications and endoscopic findings of the patients was collected via study proforma. Results: Total five hundred patients were studied; their mean age was 42.4±16.8 years. Out of all 52.8% were males. Upper GI bleed was the commonest indication (33.2%) followed by dysphagia (21.6%), epigastrium pain (10%), surveillance and screening of varices (9% and 8.2% respectively).  The most common endoscopic findings were esophageal varices (32.2 %), gastritis (18.8%), and normal (11.4%). In patients with esophageal varices, 77.4% had chronic liver disease with positive serology for HCV and HBV in 63.4% and 23% respectively. Conclusion: The most common indication was upper GI bleed with esophageal varices for upper GI endoscopy. The underlying etiology of varices reflects the high burden of chronic liver disease due to viral hepatitis.

scholarly journals UPPER GASTROINTESTINAL BLEED; PATTERNS OF ENDOSCOPIC FINDINGS IN PATIENTS IN LAHORE GENERAL HOSPITAL, LAHORE

2016 ◽  
Vol 23 (10) ◽  
pp. 1247-1251
Author(s):  
Dr. Salman Shakeel ◽  
Dr. Muhammad Imran Hasan Khan ◽  
Dr. Ghias Un Nabi Tayyab ◽  
Dr. Ehsan Ullah ◽  
Dr. Asif Mehmood ◽  
...  
Keyword(s):  
General Hospital ◽  
Gastrointestinal Bleed ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

scholarly journals Assessment of ultrasonographic and endoscopic changes in dogs with gastrointestinale disorders

2017 ◽  
Vol 69 (6) ◽  
pp. 1451-1455
Author(s):  
R.N. Malancus ◽  
C.M. Tofan Malancus
Keyword(s):  
Intestinal Mucosa ◽  
Large Bowel ◽  
Bowel Wall ◽  
Gastrointestinal Disorders ◽  
Gi Endoscopy ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
The One

ABSTRACT The study has been conducted over a period of 4 years, on a total number of 133 dogs, all of those expressing gastrointestinal disorders. Ultrasound and endoscopic examinations were performed in all dogs in order to assess any significant correlations between ultrasonographic and endoscopic findings. The results confirm a significant correlation between the presence of diarrhoea and increased thickness of the large bowel wall, with P<0.5. Another extremely significant correlation we observed is the one between increased thickness of large bowel wall and loss of layering at this level, with P<0.5. Upper GI endoscopy revealed that dilated lacteals in the duodenum are significantly associated with the presence of diarrhoea, P<0.5 and, more importantly, there is a very significant correlation between dilated lacteals and the presence of striations (P<0.5), which confirms previous studies (Sutherland-Smith et al., 2007) that say the striated aspect of the intestinal mucosa is due to dilated lacteals.

scholarly journals FREQUENCY OF ESOPHAGEAL CANDIDIASIS IN NON HIV DYSPHAGIC PATIENTS ON UPPER GI ENDOSCOPY

1969 ◽  
Vol 6 (1) ◽  
pp. 758-761
Author(s):  
NOWSHERWAN ◽  
S.M ATHAR ◽  
M.AMJAD ◽  
YASIN ◽  
IBRAR
Keyword(s):  
Risk Factors ◽  
Inhaled Corticosteroids ◽  
High Dose ◽  
Female Ratio ◽  
Esophageal Candidiasis ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Candida Esophagitis ◽  
Upper Gi Endoscopy ◽  
Underlying Risk

BACKGROUND: There is growing incidence of Candida esophagitis due to the increasing numbers ofimmune compromised patients, intensive chemotherapy, bone marrow transplantation, high dose oraland inhaled corticosteroids, potent antibiotic therapy, alcoholism and chronic illness such as diabetesmellitus and liver cirrhosis all have contributed to this increase. The diagnosis is made based on physicalexamination. Grams stain of the smear (hyphae) may further add in the diagnosis. Endoscopic diagnosisis based on characteristic lesions. This study was carried out to assess the status of esophagealcandidiasis in non HIV infected patients attending a teaching hospital.OBJECTIVE: To estimate the prevalence of esophageal candidiasis in non HIV patients presentingwith dysphagia and to assess the underlying risk factors.MATERIAL AND METHODS: It is a retrospective observational study, carried out at Lady ReadingHospital, Peshawar, Pakistan from September 2008 to November 2010. All the patients presenting withdysphagia underwent upper GI endoscopic examination during 2008 to 2010. The cases thoroughlyreviewed regarding their history examination and findings of the endoscopy. Patients with HIV / AIDSwere excluded. Results were compiled and statistically analyzed.RESULTS: A total of 200 cases were included. Male to female ratio was 2.1 : 1 . Mean age was 52.9 ±14.6. The main indications were dysphagia/odynophagia. Esophageal candidiasis was found in 28patients, out of which, 20 were male and 08 were female. The underlying risk factors were also assessed.The major risk factors were steroid therapy, uncontrolled diabetes mellitus, carcinoma esophagus andstomach, broad spectrum antibiotic and chronic liver diseases.CONCLUSION: Dysphagia is a significant presenting feature of Candida esophagitis Anti-fungaltreatment for 2 to 3 weeks is recommended on empirical basis in high risk patients for esophagealcandidiasis. If no improvement, then upper GI endoscopy is recommended.KEY WORDS: Esophageal candidiasis, Non-HIV, dysphagia.

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