Endoscopic evaluation of aetiology of upper gastrointestinal bleeding

ABSTRACT

Endoscope evaluation of upper gastrointestinal bleed [UGIB] to see the difference in aetiology in our population compared to that in the West. This retrospective, observational analysis of a time based study was carried out in the Department of Gastroenterology, Ward No. 10, Nishtar Hospital, Multan during the period from May2002 to April 2003. A total of 385 patients who presented with UGIB, were evaluated by endoscopic examination to determine the cause. A total of 385 patients were endoscoped, out of these 126 [32%] were females and 259 [78%] were males. of the total, oesophageal varices were found in 267[69%], no findings were observed in 48 [12%] gastntis 22 [5.7%], esophagitis in 20 [5%], duodenal ulcer 11 [2.8%] duodenitis in 6 [1.5%]. gastric ulcer 6 [1.5%] fundal varices in 3 [0.7%] and gastric carcinoma in 2[0.5%] patients. GI endoscopy, a reliable diagnosis and hence an adequate management of these patients can be done