TITLE

Endoscopic Findings in Upper Gastrointestinal Bleeding at Lacor Hospital in Gulu, Northern Uganda

AUTHOR(S)
Alema, N. O.
PUB. DATE
March 2012
SOURCE
East & Central African Journal of Surgery;Mar/Apr2012, Vol. 17 Issue 1, p94
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Upper gastrointestinal bleeding (UGIB) is a common emergency medical condition that may require hospitalization and resuscitation, and results in high patient morbidity. Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and its potential for therapeutic interventions. Therefore the aim of this study was to determine the endoscopic findings in patients presenting with UGIB and its frequency among these patients according to gender and age in Lacor Hospital, Northern Uganda. Methods: The study was carried out at Lacor Hospital, located at Northern part of Uganda. The record of 224 patients who underwent endoscopy for upper gastrointestinal bleeding over a period of 5 years between January 2006 and December 2010 were retrospectively analyzed. Results: A total of 224 patients had endoscopy for UGIB which consisted of 113 (50.4%) males and 111 (49.6%) females, and the mean age was 42 years ± SD 15.88. The commonest cause of UGIB was Esophageal varices consisting of 40.6%, followed by Esophagitis (14.7%), Gastritis (12.6%) and Peptic ulcer disease (duodenal and gastric ulcers) was 6.2%. The malignant conditions (Gastric and Esophageal cancers) contributed to 2.6% . Other less frequent causes of UGIB were Hiatus hernia (1.8), Duodenitis (0.9%), others-gastric polyp (0.4%). Normal endoscopic finding was 16.1% in patients who had UGIB Conclusions: Oesophageal varices are the commonest cause of upper gastrointestinal bleeding in this environment due to the high endemic nature of Hepatitis B infection among the population in Northern Uganda with nearly equal proportion of males to females as compared to the west which is mainly peptic ulcer disease.
ACCESSION #
89298790

 

Related Articles

  • Endoscopic Approaches to Upper Gastrointestinal Bleeding. Stiegmann, Greg V. // American Surgeon;Feb2006, Vol. 72 Issue 2, p111 

    Treatment for most patients with upper gastrointestinal bleeding has shifted from the operating room to the endoscopy suite. Endoscopic treatment has resulted in substantial benefit for patients with bleeding from peptic ulcer. Ulcers associated with high-risk stigmata of recent hemorrhage (SRH)...

  • Management of acute upper gastrointestinal bleeding. Mitra, Vikramjit; Marrow, Benjamin; Nayar, Manu // Gastrointestinal Nursing;Sep2012, Vol. 10 Issue 7, p34 

    Acute upper gastrointestinal bleeding (AUGIB) is a major medical emergency. In 2007, a UK-wide GI bleed audit showed an overall mortality of 10% in patients admitted with AUGIB. Following results of this audit, both SIGN (Scottish Intercollegiate Network Guidelines) and NICE (National Institute...

  • Bilateral Perinephric Abscesses: A Complication of Endoscopic Injection Sclerotherapy. Ritchie, Marianne T.; Lightdale, Charles J.; Botet, José F. // American Journal of Gastroenterology;Jul1987, Vol. 82 Issue 7, p670 

    Ten years after right hepatic lobectomy for primary hepatocellular cancer, a 45-yr-old black woman presented with bleeding esophageal varices. After five endoscopic injection sclerotherapy procedures using sodium morrhuate, she developed fever and elevated white blood count. Keendoscopy, chest...

  • Incidence and Management of Esophageal Stricture Formation, Ulcer Bleeding, Perforation, and Massive Hematoma Formation From Sclerotherapy Versus Band Ligation. Schmitz, Robert J.; Sharma, Prateek; Badr, Adnan S.; Qamar, Muhammad T.; Weston, Allan P. // American Journal of Gastroenterology;Feb2001, Vol. 96 Issue 2, p437 

    OBJECTIVES: The aim of this study was to compare the incidence and endoscopic management of esophageal stricture formation, significant ulcer bleeding, massive esophageal hematoma, and perforation resulting from endoscopic band ligation or sclerotherapy of esophageal varices. METHODS:...

  • THE ETIOLOGY OF UPPER GASTROINTESTINAL BLEEDING IN CIRRHOTIC PATIENTS. ROMCEA, ANCA ALEXANDRA; TANŢĂU, MARCEL; SEICEAN, ANDRADA; PASCU, OLIVIU // Clujul Medical;2013, Vol. 86 Issue 1, p21 

    Aims. To investigate the etiology of upper digestive hemorrhage in cirrhotic patients. Patients and methods. From November 2004 to December 2006, we performed a prospective study at the Regional Institute of Gastroenterology and Hepatology "O. Fodor" Cluj-Napoca. The study was performed on 1,284...

  • Which drugs are indicated for upper GI bleeding? De Dea, Larissa // JAAPA: Journal of the American Academy of Physician Assistants (;Jun2013, Vol. 26 Issue 6, p11 

    No abstract available.

  • CIRRHOTIC PATIENTS. Bawany, Muhammad Adnan; Liaquat, Jahangir; Akber, Muhmmad; Naz, Falak; Khanzada, Shereen Rahat; Khahro, Adnan Ali; Arain, Saeed // Professional Medical Journal;2013, Vol. 20 Issue 6, p876 

    Objective: To determine the frequency of upper GI bleeding and its predicting factors and esophageal varices in the patients with liver cirrhosis disease admitted at medicine ward of Isra university hospital. Design: Prospective and observational study. Setting: Isra university hospital. Period:...

  • Rizik i uzroci gastroezofagusnog krvarenja kod bolesnika sa cirozom jetre. Benedeto-Stojanov, Daniela; Nagorni, Aleksandar; Mladenović, Bojan; Stojanov, Dragan; Đenić, Nebojša // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Sep2007, Vol. 64 Issue 9, p585 

    Background/Aim. Variceal bleeding is the most life-threating complication in liver cirrhosis. The aim of this study was to analyze the sources of gastroesophageal bleeding in patients with liver cirrhosis and to ascertain the risk factors of bleeding from esophageal varices. Methods. This...

  • Endoscopic Therapy with 2-Octyl-cyanoacrylate for the Treatment of Gastric Varices. Kahloon, Arslan; Chalasani, Naga; DeWitt, John; Liangpunsakul, Suthat; Vinayek, Rakesh; Vuppalanchi, Raj; Ghabril, Marwan; Chiorean, Michael // Digestive Diseases & Sciences;Sep2014, Vol. 59 Issue 9, p2178 

    Background: Gastric variceal bleeding is associated with significant morbidity and mortality and limited endoscopic therapeutic options. Aim: The aim of this study was to evaluate the short- and long-term efficacy and safety of endoscopic therapy with 2-octyl-cyanoacrylate in patients with...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics