A Prospective Clinical Study of Upper Gastrointenstinal Bleeding | Chapter 11 | Highlights on Medicine and Medical Science Vol. 16

Gastrointenstinal bleeding, also called gastrointenstinal haemorrhage, refers to any type of bleeding that occurs in the gastrointenstinal tract from the mouth to the rectum. Hemorrhage from above the Treitz ligament is an example of upper gastrointenstinal bleeding. GI bleeding has the potential to be fatal. In unstable patients with acute severe bleeding, rapid assessment and resuscitation should take precedence over diagnostic evaluation. Hematemesis, coffee-ground emesis, or malena are common symptoms of upper GI bleed. The Rockall Score and Glasgow Blatchford Score are risk scores for acute upper GI haemorrhage. The goal of this study is to look into the clinical aspects of upper gastrointestinal bleeding in a tertiary care setting. Methods: A total of 100 patients were involved in the study for a one-year period. Patients with gastrointenstinal bleed who were over 18 years old and under 60 years old of both sexes were included. Within 72 hours, all of the patients had been stabilised and had undergone the endoscopic treatment. The Rockall Score was used to determine the severity. The most prevalent clinical manifestation in this investigation was malena. The most common related co-morbid condition is chronic liver disease. There is a link between drinking and upper GI bleeding. Upper gastrointestinal bleeding is a common medical emergency. Malena was found to be the most common manifestation of upper GI bleed in this investigation conducted in a tertiary care institution. It's linked to an increased risk of duodenal ulcer. Chronic liver disease is the most common co-morbid condition. The consumption of alcohol plays a significant impact in the beginning of upper GI bleeding.

Author (S) Details

Dr. Sushant Sethi
Department of Gastroenterology Apollo Hospital Bhubaneswar, India.

Dr. Rasmirekha Behera
Department of Pharmacology I.M.S & SUM Hospital Bhubaneswar, India.

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