Frequency of Bleeding Duodenal Ulcer in Patients Presenting with Upper Gastrointestinal Bleeding: Frequency of Duodenal Ulcer in patients with Gastrointestinal Bleeding

Muhammad  Fahim; Muhammad  Sohail; Muhammad Sajjad Khan; Fahim Ullah  Khan; Salman  Ur Rashid; Shakeel  Akhter

doi:10.54393/pjhs.v3i06.308

Authors

Muhammad Fahim MTI, Mardan Medical Complex, Mardan, Pakistan
Muhammad Sohail Primary Health Services Mardan, Pakistan
Muhammad Sajjad Khan Primary Health Services Bannu, Pakistan
Fahim Ullah Khan Primary Health Services D.I.Khan
Salman Ur Rashid Primary Health Services Mardan, Pakistan
Shakeel Akhter MTI, Bacha Khan Medical Complex Swabi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i06.308

Keywords:

Gastrointestinal surgery, Peptic ulcer bleeding, Endoscopy and Mortality

Abstract

Acute upper gastrointestinal bleeding is a well-known complication of peptic ulcers and erosions. The prevalence of Upper Gastrointestinal bleeding ranges from 48-160 patients per 100,000 people, with consistent reports of higher incidence among elderly and men. Objective: To determine the incidence of duodenal ulcer bleeding in patients admitted to the tertiary care hospital with bleeding from the upper gastrointestinal tract. Methods: The study included 270 patients, 20 to 70 years of age, of both sexes with upper gastrointestinal bleeding within 24 hours of symptom onset. A detailed interview and complete physical examination were performed. Endoscopic examination protocols were followed and accomplished within 48-hrs of the start of symptoms as bleeding. All of the above information, including age, sex and duodenal ulcer, was documented in a formerly designed proforma. The data were analyzed and entered in SPSS 22.0. Results: The mean age and SD were 54.5 + 10.54. 110 (40.74%) patients were 20-45 years old and 160 (59.25%) subjects were 46-70 years old. 190 (70.37%) patients were male and 80 (29.62%) females. While in this study duodenal ulcer was seen in 64 (23.70%) patients, 206 (76.29%) patients did not have duodenal ulcer. Conclusions: Upper Gastrointestinal bleeding is secondary to duodenal ulcers due to an increase in early readmissions over time, as observed in this local population, resulting in a higher incidence of duodenal ulcers in our local population.

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