CLINICAL PRESENTATION, ETIOLOGY AND OUTCOME OF UPPER GASTROINTESTINAL BLEED FROM A TERTIARY CARE HOSPITAL OF EAST SIKKIM: AN OBSERVATIONAL STUDY.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 20
Abstract
Upper gastrointestinal bleeding refers to blood loss within the intraluminal gastrointestinal tract from any location between the upper oesophagus to the duodenum at the level of the ligament of treitz. [1] It is a common medical emergency associated with significant morbidity and mortality. [2, 3] Bleeding from the upper gastrointestinal tract is approximately five times more common than lower gastrointestinal tract.[4] The common causes include duodenal ulcer, gastric ulcer, erosive mucosal disease, varices of portal hypertension and Mallory Weiss syndrome. Less common causes include esophagitis, neoplasm and angiodysplasia. [5] Bleeding from the gastrointestinal tract may present as hematemesis, maelena, hematochezia, occult gastrointestinal bleeding, and anaemia. [6] The overall incidence of acute upper gastrointestinal hemorrhage has been estimated at 50 to 100 per 100,000 patients per year, with an annual hospitalization rate of approximately 100 per 100,000 hospital admissions. [7, 8] The incidence of upper gastrointestinal bleeding is increasing in elderly people; one study found that those over 65 years of age comprised over 30% of those with upper gastrointestinal bleeding. [9]
Authors and Affiliations
Lok Limboo, Mona Dhakal, Dhakal O. P
Keywords
Related Articles
- EP ID EP153724
- DOI 10.14260/jemds/728
- Views 88
- Downloads 0
THE FUNCTIONAL OUTCOME OF LOCKING VS NON-LOCKING DUAL PLATE FIXATION IN INTRAARTICULAR FRACTURE DISTAL END HUMERUS: A RETROSPECTIVE COMPARATIVE STUDY
BACKGROUND Despite all advances in treatment, it is a challenge to most of the orthopaedic surgeons to give better result in the management of distal end humerus intra-articular fractures, because it has complex...
SAVED BY THE APPENDIX – A CASE OF SEROUS CYSTADENOCARCINOMA OF OVARY DETECTED ON ACCOUNT OF ACUTE APPENDICITIS
Ovarian cancer accounts for 5% of all cancers among women and causes more deaths than any other female genital tract cancer. The majority (85-90%) of ovarian cancers is epithelial in origin and arises typically...
ANESTHETIC MANAGEMENT OF A PATIENT WITH SITUS INVERSUS POSTED FOR LAPAROSCOPIC CHOLECYSTECTOMY
Situs inversus totalis is a congenital visceral malrotation anomaly that results from disturbances in establishment of left-right asymmetry and it is characterized by total transposition of thoracic and abdominal vis...
COMPARISON OF C REACTIVE PROTEIN IN VARIOUS HIGH RISK GROUP DURING PREGNANCY
[b]BACKGROUND: [/b]Common disorders of pregnancy are Hypertensive Disorders, Premature Rupture of Membrane and premature birth. Maternal health is especially affected when preeclampsia or more severe complications su...
MENTAL FORAMEN AND INFERIOR ALVEOLAR CANAL- A BEACON FOR SEX DETERMINATION BY DIGITAL RADIOGRAPH IN NORTH INDIAN POPULATION OF PUNJAB REGION
BACKGROUND Imperative eminent landmark, the mental foramen (MF) and inferior alveolar canal share their significance in various fields of dentistry. Among various anatomical landmarks in the human skull, the mental foram...