ENDOSCOPIC FINDINGS OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH LIVER CIRROSIS

作者: Adil Naseer Khan , Rahid Gul , Khalid Said , Rania Hadayat , Asadullah Gandapur

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摘要: Background: Acute upper gastrointestinal (GI) bleeding is a common medical emergency. A risk factor of GI cirrhosis liver, which can lead to variceal haemorrhage. 30–40% cirrhotic patients who bleed may have non-variceal and it frequently caused by peptic ulcers, portal gastropathy, Mallory-Weiss tear, gastro-duodenal erosions. The objective this study was determine the frequency endoscopic findings among presenting with liver cirrhosis. Methods: This descriptive cross-sectional carried out in Gastroenterology & Hepatology Department Ayub Teaching Hospital, Abbottabad from February 2012 June 2013. 252 diagnosed cirrhosis, bleed, age ≥50 years either gender, were included study. Non-probability consecutive sampling used. Endoscopy performed on each patient documented. Results: mean 57.84±6.29 years. There 158 (62.7%) males 94 (37.3%) females. most finding oesophageal varices (92.9%, n=234) followed hypertensive gastropathy (38.9%, n=98) almost equal distribution Gastric found 33.3% (n=84). Among other lesions, ulcer disease seen 26 (10.3%) while gastric erosions 8 (3.2%). Conclusion: In acute varices, substantially higher value our part country, apart causes. Keywords: Gastrointestinal haemorrhage, endoscopy

参考文章(23)
Thomas R. Viggiano, Rita K. Balm, Christopher J. Gostout, Acute gastrointestinal bleeding from portal hypertensive gastropathy: prevalence and clinical features. The American Journal of Gastroenterology. ,vol. 88, pp. 2030- 2033 ,(1993) , 10.1111/J.1572-0241.1993.TB07454.X
Hamid S, Abbas Z, Najib-ul-Haq, Memon Jm, Nawaz Aa, Niaz Sk, Jafri Sm, Umar M, Farooqi Ji, Tayyab Gu, Management of variceal bleeding: PSG guidelines 2006. Journal of Pakistan Medical Association. ,vol. 57, pp. 505- 511 ,(2007)
Anca Alexandra Romcea, Andrada Seicean, Oliviu Pascu, Marcel Tanţău, The etiology of upper gastrointestinal bleeding in cirrhotic patients. Clujul medical (1957). ,vol. 86, pp. 21- 23 ,(2013)
Erik Christensen, Lis Fauerholdt, Poul Schlichting, Erik Juhl, Hemming Poulsen, Niels Tygstrup, CSL, Aspects of the Natural History of Gastrointestinal Bleeding in Cirrhosis and the Effect of Prednisone Gastroenterology. ,vol. 81, pp. 944- 952 ,(1981) , 10.1016/S0016-5085(81)80123-0
Olajide O. Odelowo, Duane T. Smoot, Kyungsook Kim, Upper gastrointestinal bleeding in patients with liver cirrhosis. Journal of The National Medical Association. ,vol. 94, pp. 712- 715 ,(2002)
Shiv K Sarin, Deepak Lahoti, Sanjay P Saxena, Nandguri S Murthy, Uday K Makwana, None, Prevalence, classification and natural history of gastric varices: A long-term follow-up study in 568 portal hypertension patients Hepatology. ,vol. 16, pp. 1343- 1349 ,(1992) , 10.1002/HEP.1840160607
O. J. Garden, H. Motyl, W. H. Gilmour, R. J. Utley, D. C. Carter, Prediction of outcome following acute variceal haemorrhage. British Journal of Surgery. ,vol. 72, pp. 91- 95 ,(2005) , 10.1002/BJS.1800720205
P. Kamalaporn, A. Sobhonslidsuk, J. Jatchavala, K. Atisook, S. Rattanasiri, C. Pramoolsinsap, FACTORS PREDISPOSING TO PEPTIC ULCER DISEASE IN ASYMPTOMATIC CIRRHOTIC PATIENTS Alimentary Pharmacology & Therapeutics. ,vol. 21, pp. 1459- 1465 ,(2005) , 10.1111/J.1365-2036.2005.02507.X
MS Khan, Muhammad Khalid, Najma Ayub, Muhammad Javed, Seroprevalence and risk factors of hepatitis C virus (HCV) in Mardan, NWFP: a hospital based study. - Rawal Medical Journal. ,vol. 29, pp. 57- 60 ,(2004)
Massimo Primignani, Luca Carpinelli, Paoletta Preatoni, Giorgio Battaglia, Alessandra Carta, Alberto Prada, Renzo Cestari, Paolo Angeli, Angelo Gatta, Alfredo Rossi, Giancarlo Spinzi, Roberto De Franchis, Natural history of portal hypertensive gastropathy in patients with liver cirrhosis Gastroenterology. ,vol. 119, pp. 181- 187 ,(2000) , 10.1053/GAST.2000.8555