A Prospective Clinical Study of Upper Gastrointenstinal Bleeding

Abstract

Gastrointenstinal bleeding also known as gastrointenstinal hemorrhage is all forms of bleeding in the gastrointenstinal tract from mouth to the rectum. Upper gastrointenstinal bleeding includes hemorrhage originating from above ligament of Treitz. GI bleeding can be potentially life threatening. Rapid assessment and resuscitation should precede diagnostic evaluation in unstable patients with acute severe bleeding. Upper GI bleed usually present with hematemesis, coffee-ground emesis or malena. Acute upper GI bleeding is assessed by risk scores such as Rockall Score and Glasgow Blatchford Score.

Aim: To study the Clinical aspects of Upper Gastrointenstinal Bleeding in a Tertiary Care Hospital.

Methods: Total 100 patients were included for a period of one year. Patients with age above 18 yrs and below 60yr of both sexes presenting with gastrointenstinal bleed were included. All the patients were stabilized & subjected to endoscopic procedure within 72 hrs. Severity was assessed by Rockall Score.

Result: In this study the most common clinical presentation is malena. Chronic liver disease is the most frequent associated co-morbid condition. There is an association of alcohol with that of upper GI bleed.

Conclusion: Upper GI Bleed is a common medical emergency. In this study conducted in a tertiary care hospital the most common presentation of upper GI bleed is malena. It is associated with the more incidence of duodenal ulcer. The frequent associated co-morbid condition is chronic liver disease. Alcohol shares a significant role in the onset of upper GI bleed.