ENDOSCOPIC EVALUTION OF 100 CASES OF GASTRO INTESTINALBLEEDING .

Upper gastrointenstinal bleeding(UGIB) is one of the surgical emergencies1.The etiological spectrum of gastrointenstinal bleeding is diverse and variable from one geographical area to another. Earlier barium meal used for study of UGIB which has its own drawbacks . Now upper GI scopy used as diagnostic too2l. Aims And Objectives:- Study the endoscopic evalution and management of upper gastrointestinal bleeding in our college(ks hegde hosiptal) Methods:- A cross sectional study of 100 cases of upper GI bleeding who are admitted in justice K S Hedge Charitable Trust between October 2014 to October 2016 Results:- A Total of 100 patients who underwent upper GI scopy during the period. The patients range in age from 18 to 80, Mean age is 50.5 years .Median 52 years.Out of 100 patients lesions found in 95% patients. Majority of patients are presented with haemtemesis (76%) .Oesophageal varices secondary to alcoholic cirrhosis of liver were the most frequent cause of upper GI bleeding followed by PUD. Cirrhosis is the main etiological factor of upper GI bleed in this study (p value – 0.0001) . Esophagus is the most common site of bleeding in this study.In the present study, endoscopic management was the one of the main modality of treatment in 40% of the total patients, consisting of banding (40%). Rest of the patients (57%) were managed conservatively with medical therapy, 3% of the patients were treated surgically. Conclusion:- • Endoscopy is essential in the initial evaluation and management of upper gastro intestinal bleeding. In this study UGI endoscopy provided accurate diagnosis in 95% of Patients. • The most common cause of UGI bleeding was oesophageal varices secondary to cirrhosis of liver with portal hypertension. Therapeutic endoscopy was useful in 40% of patients. No complications were encountered during after Endoscopy. • UGI endoscopy serves its best role in the diagnosis of UGI bleeding and in therapeutic