Upper gastrointestinal bleeding in Malawian adults and value of splenomegaly in predicting source of haemorrhage
East Afr. Med. J
; 66(2): 97-9, 1989.
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| ID: biblio-1261280
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ABSTRACT
Fibreoptic endoscopy was carried out on 100 Malawian adults consecutively admitted to the department of medicine; Kamuzu Central Hospital; Lilongwe; with acute upper gastrointestinal bleeding. The principal causes of haemorrhage were oesophageal varices (45 percent ); duodenal ulcer (16 percent ); gastritis/erosions (9 percent ) and gastric ulcer (7 percent ). 69 percent of 29 patients with oesophageal varices who were investigated had S. mansoni infection. A palpable spleen positively predicted oesophageal varices in 91 percent of cases; while no palpable spleen predicted a source of haemorrhage other than varices in 97 percent of cases. In Malawi oesophageal varices are the major cause of upper gastrointestinal bleeding in adults; and the presence or absence of splenomegaly is a useful clinical pointer respectively to the presence or absence of oesophageal varices
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Índice:
AIM
Tipo de estudio:
Prognostic_studies
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Risk_factors_studies
Idioma:
En
Revista:
East Afr. Med. J
Año:
1989
Tipo del documento:
Article