Gastric varices amongst patients with upper gastrointestinal bleeding: A single centre cross sectional study

Sadaf Abdullah; Asfand-e-yar Khan; Zubair Ejaz; Muhammad Sohail; Abubakkar Alam; Kamran Kamran; Syeddah Neelam Gillani; Syeddah Saiqa Gillani; Bisma Khursheed; Sundas Ali Khan

doi:10.53730/ijhs.v7nS1.14274

Authors

Sadaf Abdullah Consultant physician, MTI Lady Reading Hospital, Peshawar
Asfand-e-yar Khan Consultant Gastroenterologist Primary Health Services, Nowshera kpk
Zubair Ejaz Consultant Gastroenterologist Primary Health Services, Nowshera
Muhammad Sohail
drsohailgastro@gmail.com
Consultant Gastroenterologist Primary Health Services, Mardan
Abubakkar Alam Consultant Gastroenterologist, Alkhidmat Hospital Peshawar
Kamran Consultant Gastroenterologist Primary Health Services, charsadda
Syeddah Neelam Gillani Woman Medical Officer, Nowshera
Syeddah Saiqa Gillani Woman Medical Officer, Nowshera
Bisma Khursheed Registrar Erfan Bagedo hospital jeddah Saudi Arabia
Sundas Ali Khan Woman Medical Officer, Peshawar

Keywords:

frequency’ gastric varices, upper gastrointestinal bleeding

Abstract

Background: The term "upper gastrointestinal bleeding" refers to bleeding from the gastrointestinal system that occurs above the Treitz ligament. It is one of the gastroenterological problems that is seen most often in clinical settings by gastroenterologists. Objective: To assess the frequency of gastric Varices amongst patients with upper gastrointestinal bleeding. Methodology: Our study was descriptive-cross sectional study, carried out at the Gastroenterology Department…….hospital Peshawar for duration of six months from August 2022 to January 2023. A careful upper-gastrointestinal endoscopy was carried out. Endoscopic findings of gastric varices in patients were recorded on a designed proforma for our research. All the documented data was analyzed by using 23. Results: In our current study a total of 120 patients were included. The male were 67 (55.83%) whereas female patients were 53 (44.17%). The mean age (SD) was 36 (9.11) years. The overall frequency of gastric varices amongst patients with gastrointestinal bleeding was 24 (20%). Conclusion: Our study concludes that frequency of gastric varices amongst patients with upper-gastrointestinal bleeding is very high. Multiple centre studies with large sample size should be conducted to get better results.

Downloads

Download data is not yet available.

References

Bansal A, Gupta P, Singh H, Samanta J, Mandavdhare H, Sharma V, et al. Gastrointestinal complications in acute and chronic pancreatitis. JGH Open. 2019;3(6):450-5.doi:10.1002/jgh3.12185.

Bhutta S, Jamil M, Aziz K. An etiological study of upper gastrointestinal bleeding. Journal of Rawalpindi Medical College. 2012;16(1).

Cúrdia-Gonçalves T, Rosa B, Cotter J. New insights on an old medical emergency: non-portal hypertension related upper gastrointestinal bleeding. Rev Esp Enferm Dig. 2016;108(10):648-56.

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

Farhan S, Nadeem MA, Irfan M, Ahmad K, Abbas G, Bokhari I, et al. Outcome of Upper Gastrointestinal Endoscopy of Patients Presenting With Upper Gastrointestinal Bleed. Pak J Med Health Sci. 2012;6(4):985-7.

Hadayat R, Gul R, Khan AN, Said K, Gandapur A. Endoscopic findings of upper gastrointestinal bleeding in patients with liver cirrosis. Journal of Ayub Medical College Abbottabad. 2015;27(2):391-4.

ILTAF M, KHAN D, KASHIF M. Frequency of Gastric Varices in patients presenting with upper gastrointestinal bleed. Methodology. 2018.

Jainan W, Vilaichone R-K. Effects of the CYP2C19 genetic polymorphism on gastritis, peptic ulcer disease, peptic ulcer bleeding and gastric cancer. Asian Pac J Cancer Prev. 2015;15(24):10957-60.

Lam KL, Wong JC, Lau JY. Pharmacological treatment in upper gastrointestinal bleeding. Curr Treat Options Gastroenterol. 2015;13:369-76.

Lanas A, Perez-Aisa MA, Feu F, Ponce J, Saperas E, Santolaria S, et al. A nationwide study of mortality associated with hospital admission due to severe gastrointestinal events and those associated with nonsteroidal antiinflammatory drug use. Official journal of the American College of Gastroenterology| ACG. 2005;100(8):1685-93.

Lirio RA. Management of upper gastrointestinal bleeding in children: variceal and nonvariceal. Gastrointestinal Endoscopy Clinics. 2016;26(1):63-73.

Longstreth GF. Epidemiology of Hospitalization for Acute Upper Gastrointestinal Hemorrhage: A Population--Based Study. American Journal of Gastroenterology (Springer Nature). 1995;90(2).

McPhee SJ, Papadakis MA, Rabow MW. Current medical diagnosis & treatment 2010: McGraw-Hill Medical New York:; 2010.

Mumtaz K, Majid S, Shah HA, Hameed K, Ahmed A, Hamid S, et al. Prevalence of gastric varices and results of sclerotherapy with N-butyl 2 cyanoacrylate for controlling acute gastric variceal bleeding. World Journal of Gastroenterology: WJG. 2007;13(8):1247.

Park SW, Song YW, Tak DH, Ahn BM, Kang SH, Moon HS, et al. The AIMS65 score is a useful predictor of mortality in patients with nonvariceal upper gastrointestinal bleeding: urgent endoscopy in patients with high AIMS65 scores. Clinical Endoscopy. 2015;48(6):522-7.

Robertson MC, Hayes PC. Endoscopic Management of Acute Variceal Bleeding. Endoscopy in liver disease. 2017:55-96.

Sangchan A, Sawadpanitch K, Mairiang P, Chunlertrith K, Sukeepaisarnjaroen W, Sutra S, et al. Hospitalized incidence and outcomes of upper gastrointestinal bleeding in Thailand. J Med Assoc Thai. 2012;95(Suppl 7):S190-5.

Sarwar S, Dilshad A, Khan AA, Alam A, Butt AK, Tariq S, et al. Predictive value of Rockall score for rebleeding and mortality in patients with variceal bleeding. Journal of the College of Physicians and Surgeons--pakistan: JCPSP. 2007;17(5):253-6.

Stanley AJ, Laine L, Dalton HR, Ngu JH, Schultz M, Abazi R, et al. Comparison of risk scoring systems for patients presenting with upper gastrointestinal bleeding: international multicentre prospective study. BMJ. 2017;356.

Thandassery RB, Sharma M, John AK, Al-Ejji KM, Wani H, Sultan K, et al. Clinical application of AIMS65 scores to predict outcomes in patients with upper gastrointestinal hemorrhage. Clinical endoscopy. 2015;48(5):380-4.