A prospective study on clinical profile and management of acute upper gastro Intestinal bleeding among 50 cases in Government Mohan Kumaramangalam Medical College, Salem

Mohammed Minnathullah, S A (2014) A prospective study on clinical profile and management of acute upper gastro Intestinal bleeding among 50 cases in Government Mohan Kumaramangalam Medical College, Salem. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.

[img]
Preview
Text
220101014mohammed_minnathullah.pdf

Download (7MB) | Preview

Abstract

BACKGROUND: Upper GI Bleeding is a medical and surgical mortality rate accounts to 10%. Most of the patients presents to hospital in hypovolemia and shock. Considering all these, this study on 50 patients presented with upper GI bleeding admitted in our hospital, Govt. Mohan Kumaramangalam Medical College and Hospital, Salem enabled us to identify commonest etiology, clinical presentation and prognosis in the locality. AIM OF THE STUDY: 1. To assess the clinical status of the patient getting admitted. 2. Work up including OGD Scopy. 3. To analyse the cause. 4. To analyse the different Management modalities. 5. To find the period of hospital stay. 6. To analyse the outcome. METHODOLOGY: The cases were evaluated through proper history taking, thorough clinical examination, endoscopic examination and were grouped under seven groups and were analyzed. Patients less than 15 years and patients not stabilized within 48 hours of resuscitation were excluded from the study. OBSERVATION: Duodenal ulcer was the commonest cause of upper GI bleed (37%) followed by esophageal varices (20%). Peak incidence was among 35 – 45 years with male predominance. Most patients presented with both hematemesis and malena (52%). Patients were treated with PPIs, sclerotherapy (10) or banding (9). CONCLUSION: Peptic ulcer is the commonest cause. Sex and blood group distribution were similar to other studies. Death due to upper GI bleed is still a challenge for the investigators too.

Item Type: Thesis (Masters)
Uncontrolled Keywords: acute upper gastro Intestinal bleeding ; 50 cases ; clinical profile and management ; prospective study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 07 Jul 2018 02:23
Last Modified: 07 Jul 2018 02:23
URI: http://repository-tnmgrmu.ac.in/id/eprint/8690

Actions (login required)

View Item View Item