Upper Gastrointenstinal Bleeding: A Prospective Clinical Study

摘要

Introduction: Gastrointenstinal bleeding also known as gastrointenstinal hemorrhage is all forms of bleeding in the gastrointenstinal tract from mouth to the rectum. Upper gastrointenstinal bleeing includes hemorrhage originating from above ligament of Treitz. GI bleeding can be potentially life threatening. 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. Patient 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 72hrs. 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 a association of alcohol with that of upper g.i bleed. Conclusion: Upper G.I 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 onset of upper GI bleed.