ACUTE UPPER GASTROINTESTINAL BLEEDING IN LIVER CIRRHOSIS PATIENTS –PROSPECTIVE OBSERVATIONAL STUDY.

Dr.Viney Sambyal; Dr.Vijant Singh Chandail

Volume : VIII, Issue : IV, April - 2019

ACUTE UPPER GASTROINTESTINAL BLEEDING IN LIVER CIRRHOSIS PATIENTS –PROSPECTIVE OBSERVATIONAL STUDY.

Dr. Viney Sambyal, Dr. Vijant Singh Chandail

Abstract :

Objectives:This study focuses on the etiology of acute upper gastrointestinal (GIT) bleeding in liver cirrhosis patients. Methods: A prospective examination of 1617 liver cirrhosis patients with acute upper GIT bleeding was done. All patients underwent endoscopic examination and in the case of multiple findings, definition of the source of bleeding was based on the endoscopic report. Results: The most frequent causes of acute bleeding were: oesophageal varices (53.4%), peptic gastric and duodenal ulcers (32.36%), portal hypertensive gastropathy (5.8%), gastric varices (3.96%), Antral gastritis (3.46%), Mallory–Weiss syndrome (0.37%) and Duodenal varix(0.31%). The majority of cases showed multiple findings in the upper digestive tract, each of which was a potential cause of bleeding. Conclusion: Portal hypertension lead to bleeding in 63.47% of patients, and 57.67% of patients suffered from purely varicose bleeding and 36.53% from non–varicose bleeding. Early, detailed endoscopic examination leading to appropriate diagnosis and treatment is of paramount importance.