A radiological profile of the patients undergoing upper GI endoscopy at tertiary health care centre
Journal Title: Medpulse International Journal of Pediatrics - Year 2019, Vol 9, Issue 2
Abstract
Introduction: Upper gastrointestinal (GI) bleeding, defined as bleeding derived from a source proximal to the ligament of Treitz, is a common and potentially life-threatening GI emergency with a wide range of clinical severity, ranging from insignificant bleeds to catastrophic exsanguinating hemorrhage Aims and Objectives: Radio-logical profile of the patients undergoing upper GI endoscopy at tertiary health care centre. Methodology: This was a cross-sectional study carried at tertiary health care centre referred for Upper GI Endoscopy during one year period from January 2017 to January 2018 , in the one year period there were 126 patients referred for the procedure after written and explained consent were undergone Upper GI endoscopy with all aseptic precautions and standard protocols , all patients undergone USG , these were entered to excel sheets and analyzed by Excel software for windows 10 . Result: In our study we have seen that The average age of the patients was 11.56 ±6.47 Yrs. and range was 1-55 Yrs. (Min –Max). The majority of the patients were Female i.e. 51.59% and Males were 48.41%. The most common provisional diagnosis were Hematemesis under investigation - 22.22%, followed by Mass per abdomen - in 15.87%, Foreign body in 13.49%, Vomiting under investigation in 11.11%, Fever under investigation in 10.32%, Ascitis under investigation in 8.73%, Cirrhosis with portal Hypertension in 5.56%, Upper GI obstruction in 4.76%, Dysphagia under investigation in 4.76%, Malena under investigation in 3.17%. The most common USG findings were Course Ecotexture of Liver - 25.40%, Diffuse Parenchymal Liver - 18.25%, Dilated portal vein with Splenomegaly -10.32%, Dilated portal vein with perifibrosis, massive splenomegaly- 9.52% , Hepatitis with splenomegaly-8.73%, Hepatomegaly with cirrosis of liver with splenomegaly -5.56%,Hepatomegaly thickenend GB with Massive Ascitis - 4.76%, Hepatomegaly with coarse echotexture , nodular surface massive ascitis with Grade I nephropathy - 3.97%, Hepatomegaly with ascitis -3.17%, Mild spelenomegaly with paraaortic Lymphadenopathy -3.17%, Dilated stomach ,duodenum, Obstruction of IIIrd part of Dudenum - 2.38%, Splenomegaly with Bulky Pancrea, Pleural effusion , Lt Ovarian Cyst , Rt Renal calculi-1.59%. Conclusion: It can be concluded from our study that the most common USG findings were were Course Ecotexture of Liver, Diffuse, Parenchymal Liver, Dilated portal vein with Splenomegaly Dilated portal vein with perifibrosis , massive splenomegaly- Hepatitis with splenomegaly, Hepatomegaly with cirrosis of liver with splenomegaly etc. this sonographic evaluation is useful for diagnosis and management of the patients.
Authors and Affiliations
Kudlappa Angadi, Pooja Patil
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