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 133
- Downloads 0
Boerhaave’s Syndrome: A Forgotten Fatality.
Transmural tears of the oesophageal wall following sudden forceful vomiting is often associated with complications like hydro-pneumothorax, pneumomediastinum, surgical emphysema, mediastenitis, sepsis, shock and death if...
Oral Health and Respiratory Diseases - A Major Link
Interest has been mounting on the potential connections between oral health and certain systemic conditions. Oral manifestations are polymorphic in nature, being associated with a variety of respiratory infections and sp...
Myasthenia Gravis with Caries Spine: An Anaesthetist's Perspective
Myasthenia Gravis (MG) is an autoimmune disease of neuromuscular junction. It is characterized by weakness and fatigability of skeletal muscles. Tuberculosis (TB) being an infectious disease may exacerbate MG, resulting...
A Comparative Study of Intrathecal Chloroprocaine and Ropivacaine in Day Care Perineal Surgeries
Background: Chloroprocaine has recently been re-introduced into the market after being initially withdrawn due to concerns of neurotoxicity, and is being increasingly used of day care proedures. Ropivacaine is proven to...
Reliability of Toluidine blue stain in diagnosis of oral cancer and precancer: Database study
Early diagnosis is the single most factors that improve the prognosis and survival rate of cancer patients. Numerous adjuncts are available to aid in its diagnosis. Vital tissue staining using Toluidine blue is one such...