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Endoscopic Evaluation of Upper and Lower Gastro-Intestinal Bleeding.
Ray-Offor, Emeka; Elenwo, Solomon N.
Afiliação
  • Ray-Offor E; Department of Surgery, University of Port Harcourt Teaching Hospital and Digestive Disease Unit, Oak Endoscopy Centre, Port Harcourt, Rivers State, Nigeria.
  • Elenwo SN; Department of Surgery, University of Port Harcourt Teaching Hospital and Digestive Disease Unit, Oak Endoscopy Centre, Port Harcourt, Rivers State, Nigeria.
Niger J Surg ; 21(2): 106-10, 2015.
Article em En | MEDLINE | ID: mdl-26425062
INTRODUCTION: A myriad of pathologies lead to gastro-intestinal bleeding (GIB). The common clinical presentations are hematemesis, melena, and hematochezia. Endoscopy aids localization and treatment of these lesions. AIMS: The aim was to study the differential diagnosis of GIB emphasizing the role of endoscopy in diagnosis and treatment of GIB. PATIENTS AND METHODS: A prospective study of patients with GIB referred to the Endoscopy unit of two health facilities in Port Harcourt Nigeria from February 2012 to August 2014. The variables studied included: Demographics, clinical presentation, risk score, endoscopic findings, therapeutic procedure, and outcome. Data were collated and analyzed using SPSS version 20 software. RESULTS: A total of 159 upper and lower gastro-intestinal (GI) endoscopies were performed during the study period with 59 cases of GI bleeding. There were 50 males and 9 females with an age range of 13-86 years (mean age 52.4 ± 20.6 years). The primary presentations were hematochezia, hematemesis, and melena in 44 (75%), 9 (15%), and 6 (10%) cases, respectively. Hemorrhoids were the leading cause of lower GIB seen in 15 cases (41%). The majority of pathologies in upper GIB were seen in the stomach (39%): Gastritis and benign gastric ulcer. Injection sclerotherapy was successfully performed in the hemorrhoids and a case of gastric varices. The mortality recorded was 0%. CONCLUSION: Endoscopy is vital in the diagnosis and treatment of GIB. Gastritis and Haemorrhoid are the most common causes of upper and lower GI bleeding respectively, in our environment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies Idioma: En Revista: Niger J Surg Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Nigéria

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies Idioma: En Revista: Niger J Surg Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Nigéria