A study on clinical and endoscopic profile of patients of upper gastrointestinal bleed in a tertiary care hospital in Southern Bihar

Abstract

Background:Upper GI bleed is a common medical emergency associated with significant mortality and morbidity.Causeof UGIB have been classified in to variceal and non variceal bleed.H.pylori infection and use of NSAIDs are the two major risk factors for peptic ulcer and its complications.Early endoscopy and endoscopic appearance of certain lesions help to guide therapy and there by reduce the cost and duration of treatment.Methods :This observational study was carried out in a tertiary care hospital in southern Bihar and included 60 patients who presented with UGIB and fulfilled the criteria of study and were willing to undergo UGI endoscopy.Result:Esophagealvarices (58.33%)is the most common cause of UGIB followed by portal hypertensive gastropathy(19%).Majority(28.33%) of study subjects were in age group of 31-40 years.Conclusion:Most cases presented with minor or moderate UGIB with massive bleed only in minority.Majority of patients belonged to the age group 31-40 years with male predilection.This study showed variceal bleeding is the commonest cause of UGIB in our patients.