DOI: http://dx.doi.org/10.18203/2349-3933.ijam20175177

Clinical profile of patients presenting with gastrointestinal bleeding in a tertiary care hospital

Chandan Kumar, Sumit Kumar Chakrabarti, Sucharita Chakraborty, Keshab Sinharay

Abstract


Background: It has been seen that Upper gastrointestinal bleeding (UGIB) is one of the most mutual gastrointestinal emergencies for physicians and surgeons. In the recent past studies, there is raised incidence of peptic ulcer with raised frequency of bleeding from it. The range of upper GI bleeding fluctuates from region to region and relies on the status of the centre in hospital hierarchy.

Methods: An observational, cross-sectional, hospital-based, single centre study was carried out on 150 patients admitted in tertiary care hospital with the presentation of GI bleeding. A detailed patient history was taken followed by required clinical and laboratory investigations. Then patients were resuscitated and subjected to endoscopic procedure.

Results: 150 patients were treated among which 105 were male (70%) and 45 females (30%). 111 patients (74%) had upper GI bleed, 28 patients (19%) had lower GI bleed, and 11 patients (7%) had obscure bleed. 41% of the population were diagnosed to have peptic ulcer (gastric or duodenal) as the cause behind GI bleed forming the main aetiology in this study population, 26% had oesophageal varices constituting second important cause of GI bleed, and 7% had obscure bleed. Those who had undergone UGI endoscopy or sigmoidoscopy or colonoscopy within last one month and who were having GI bleed following GI surgery were excluded from the study.

Conclusions: It was seen that upper GI bleeding is more common than lower GI bleeding. Peptic ulcer was the chief cause resulting in gastrointestinal bleed followed by oesophageal varices. Gastrointestinal bleeding was more common in male population affecting mainly subjects over 40 years of age.


Keywords


Melena, Obscure bleed, Oesophageal varices, Peptic ulcer Upper gastrointestinal bleeding

Full Text:

PDF

References


Laine L. Acute and chronic gastrointestinal bleeding. In: Sleisenger MH, Fordtran JS, Scharschmidt BF, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: WB Saunders. 2000:205-10.

Rockall TA, Logan RFA, Devlin HB, Northfield TC. Incidence of and mortality from acute upper gastrointestinal hemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. BMJ. 1995;311:222–6.

Hernandez-Diaz S, Rodriguez LA. Incidence of serious upper gastrointestinal bleeding/perforation in the general population: review of epidemiologic studies. J Clin Epidemiol. 2002;55:157–63.

Manning-Dimmitt LL, Dimmitt SG, Wilson GR. Diagnosis of gastrointestinal bleeding in adults. Am Fam Physician. 2005;71:1339-46.

Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol. 1997;92(3):419-24.

Fallah MA, Prakash C, Edmundowicz S. Acute gastrointestinal bleeding. Med Clin North Am. 2000;84(5):1183 -208.

Yachimski PS, Friedman LS. Gastrointestinal bleeding in the elderly. Nat Clin Pract Gastroenterol Hepatol. 2008;5(2):80-93.

Silverstain FE, Gilbert DA, Tedesco FJ, Buenger NK, Persing J. The national ASGE Survey on upper gastrointestinal bleeding. II Clinical prognostic factors. Gastrointestinal Endosc. 1981;27:80-93

Strate LL. Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am. 2005;34:643-64.

Dooley CP, Larson AW, Stace NH, Renner IG, Valenzuela JE, Eliasoph J, et al. Double-contrast barium meal and upper gastrointestinal endoscopy. A comparative study. Ann Intern Med. 1984;101:538–45.

Singh SP and Panigrahi MK. Spectrum of Upper Gastrointestinal Hemorrhage in Coastal Odisha.Tropical Gastroenterology. 2013;34(1):14 –7.

Masoodi M,Saberifiroozi M. Etiology and Outcome of Acute Gastrointestinal Bleeding in Iran: A Review Article. Middle East J Dig Dis. 2012;4:193-8.

Minakari M, Badihian S, Jalalpour P, Sebghatollahi V. Etiology and outcome in patients with upper gastrointestinal bleeding: Study on 4747 patients in the central region of Iran. Journal of Gastroenterology and Hepatol. 2016;32(4):789-96.