The causes, management and outcome of upper gastrointestinal haemorrhage in an Indian hospital

Author:

Anand C S1,Tandon B N1,Nundy S1

Affiliation:

1. Department of Surgery, All India Institute of Medical Sciences, New Delhi 110029, India

Abstract

Abstract Four hundred and eight consecutive patients with upper gastrointestinal haemorrhage, admitted to a large hospital in India over the 5-year period 1976–81, were studied prospectively. The mean age was 41 years, the male: female ratio was 3:1, causes of bleeding were oesophageal varices in 45·5 per cent, duodenal ulcer in 25 per cent, gastric ulcer in 5 per cent and gastritis in 8·5 per cent. One hundred and twelve patients had operations with an overall mortality of 20 (18 per cent). Thirty-three (11 per cent) of the unoperated patients died. Eighty-seven per cent of patients left hospital alive and 76 per cent returned to their former way of life. Patients with upper gastrointestinal bleeding in North India are mainly young males, nearly half bleeding from oesophageal varices, and have a moderately good prognosis.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Early endoscopy in upper gastrointestinal haemorrhage;Tandon;J. Assoc. Physicians India,1978

2. Upper gastrointestinal bleeding—one year study from Kashmir;Khuroo;J. Assoc. Physicians India,1976

3. Upper gastrointestinal haemorrhage. A five year study;Kaul;Ind. J. Surg.,1973

4. Intragastric and intraperitoneal institution of non-adrenaline in massive upper gastrointestinal haemorrhage (a pilot study);Aggarwal;J. Assoc. Physicians India,1981

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