clinical  profile  and out come of nonvariceal  upper gastro intestinal  bleeding  with  endoscopic  correlation

DR.SREEDEVI.KOONA; Dr.Tejeswararao.Bendi

Volume : V, Issue : XI, November - 2015

clinical profile and out come of nonvariceal upper gastro intestinal bleeding with endoscopic correlation

Dr. Sreedevi. Koona, Dr. Tejeswararao. Bendi

Abstract :

 To study clinical profile and endoscopic correlation of nonvariceal upper gastrointestinal bleeding Methods: 50 cases of non variceal upper gastrointestinal bleeding were included in this study .A detailed clinical history and examination done. After initial resuccitation and stabilization with IV fluids and blood transfusions all the patients were subjected to upper gastrointestinal endoscopy.OBSERVATIONS: In the present study majority of patients 48% present in the 4th and 5th decade. Out of 50 patients 36 were males and 14 were females showing male preponderance. The comonest presenting complaint was hematemesis with maleena 66%. A good correlation between clinical diagnosis and endoscopic findings was made in patients with drug induced gastritis 81% and chronic duodenal ulcer 40% and gastric ulcer 50%.CONCLUSIONS: the commonest cause for upper gastrointestinal bleeding is peptic ulcer . Upper gastrointestinal endoscopy helps as both diagnostic and therapeutic tool of choice .Clinical diagnosis is correlated well with endoscopy. Early endoscopy improves survival with intervention to stop bleeding undertaken simultaneously and decreases hospital stay and decreases number of blood transfusions.