Japan Digestive Disease Week 2016
International Poster Session(JDDW)
November 4 (Fri.), 10:10–10:50, Room 16 (Kobe International Exhibition Hall No. 2 Building Hall (North) Digital Poster Session)
IP-6_G
ESOPHAGEAL VARICES- THE MOST FREQUENT AND RISING ENDOSCOPIC FINDING IN PATIENTS WITH UPPER GI BLEED IN PAKISTANI POPULATION.
- 1
- Holy Family Hospital Medical Unit 1 Rawalpindi
- 2
- Lahore General Hospital
- 3
- Agha Khan University Hospital
- 4
- Shifa International Hospital
- 5
- Jinnah Hospital Lahore
- 6
- Holy Family Hospital
- 7
- Holy Family Hospital Rawalpindi
Objective:
To find out the upper GI endoscopy findings in patients presenting with UGIB in relation to age, gender and etiology.
Material and Methods:
A retrospective analysis of 3910 patients presented to GI Department from January 2011 to October 2014 for endoscopic evaluation of UGIB. The data was analyzed on SPSS20, descriptive statistics were recorded and results were analyzed as in given table.
Results:
The pattern of pathologies on EGD is as shown as:-
The majority of the patients with UGIB presented with haematemesis alone (n=3034, 77.6%) followed by combined hemetemesis & malena (n=540, 13.8%) and malena alone (n=336, 8.6%). EV were the most frequent finding of UGIB (n=2998, 76.6%) followed by PUD (n=381, 9.7%). 93% of the patients with EV were infected by HCV. The bleeding site was accurately identified in 95.8% of patients and re-bleeding was reported in 5.8%.
Conclusions:
EV is the commonest cause of UGIB in our territory manifested mainly by hemetemesis and it is due to high endemic nature of HCV infection among the male population in Central Punjab as compared to the western world which is mainly PUD. A good number of patients had normal EGD which warrants us to locate for other causes that mimic UGIB.
To find out the upper GI endoscopy findings in patients presenting with UGIB in relation to age, gender and etiology.
Material and Methods:
A retrospective analysis of 3910 patients presented to GI Department from January 2011 to October 2014 for endoscopic evaluation of UGIB. The data was analyzed on SPSS20, descriptive statistics were recorded and results were analyzed as in given table.
Results:
The pattern of pathologies on EGD is as shown as:-
The majority of the patients with UGIB presented with haematemesis alone (n=3034, 77.6%) followed by combined hemetemesis & malena (n=540, 13.8%) and malena alone (n=336, 8.6%). EV were the most frequent finding of UGIB (n=2998, 76.6%) followed by PUD (n=381, 9.7%). 93% of the patients with EV were infected by HCV. The bleeding site was accurately identified in 95.8% of patients and re-bleeding was reported in 5.8%.
Conclusions:
EV is the commonest cause of UGIB in our territory manifested mainly by hemetemesis and it is due to high endemic nature of HCV infection among the male population in Central Punjab as compared to the western world which is mainly PUD. A good number of patients had normal EGD which warrants us to locate for other causes that mimic UGIB.
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