Shinu Singla, Doctorate of Medicine, Neurology, Sri Aurobindo Medical College & PG Institute, Indore.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 6
Abstract
Introduction: Acute UGI bleed is defined as bleed occurring proximally to ligament of trietz common emergency presentation accounting for mortality rate of 10%. Worldwide, peptic ulcer disease is the commonest cause. Variceal bleeding has 30% in-Hospital mortality and 60% mortality in the 1st year. Material and Methods: 2-year prospective observational study was performed on 201 patients presenting with hemetemesis. Out of 201 patients, 125 (62.4%) patients were having varices and 76 (37.6%) had no varices. The patients with non-variceal bleed were excluded. Detailed history, examination and laboratory tests were performed. Appropriate statistical analysis on the data was performed. Results: Mean age of the variceal population was 44.9years. Alcoholic cirrhosis (38%) was the commonest cause in variceal. Patients at presentation having tachycardia and hypotension had significantly increased risk of mortality both in variceal. Patients requiring endoscopic intervention had significantly increased mortality. Conclusion: We found variceal bleed to be the commonest cause of hemetemesis. Mean age of the vaiceal bleed patients was 5th decade. We observed alcoholic cirrhosis as the commonest cause of variceal bleed and alcohols of cirrhosis. Tachycardia and hypotension on presentation and those requiring endoscopic intervention have poor prognosis.
Authors and Affiliations
Shinu Singla
Keywords
Related Articles
- EP ID EP591575
- DOI -
- Views 117
- Downloads 0
Postpartum Depression: An Overview
Postpartum depression is classified under Diagnostic and Statistical Manual of mental disorders -IV (DSM-IV) as a postpartum affective disorder and major common complication in child bearing women. It causes irritable se...
The Comparative Clinical Study of Shatapushpa Churna and Tilshelukarvi Kwatha on Artava Kshaya.
On reviewing our Ayurvedic classics we found that Artava kshaya included symptoms like Yathochitkale Adarshanam, Yoni Vedana, Alpata. Nowadays, the menstrual disorders have become a very challenging problem for working l...
Antibiotic Prescriptions Pattern in Paediatric In-Patient Department with Lower Respiratory Tract Infection at a Tertiary Care Hospital, Davangere.
The Objective of the study was carried out with the aim to assess the prescribing pattern of antibiotic drugs with Lower Respiratory Tract Infection (LRTI) at a tertiary care teaching Hospital, Davangere using WHO core d...
Vancomycin induced Generalized Tonic Clonic Seizure- A Rare Case Report
Vancomycin induced seizure is very rarely documented. Only one case report on vancomycin-induced hypertension with transient blindness and generalized seizure was reported in year 1992. Here we report a case of vancomyci...
Cerebellar ataxia associated with Hashimotos Thyroiditis totally responsive to steroid therapy.
44 years old female known case of hypothyroidism in euthyroid state presented with features suggestive of cerebellar ataxia. As her serum Anti-TPO antibodies were high, she was suspected to have Hashimotos thyroiditis, f...