Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Acute upper gastrointestinal bleeding (UGIB) remains a significant medical emergency worldwide, with a multifaceted impact on healthcare due to its morbidity, mortality and resource utilization. This study investigates the clinical presentation, endoscopic findings, management strategies and outcomes of UGIB in a tertiary care setting, aiming to provide actionable insights for optimizing care. The study enrolled 101 adult patients presenting with UGIB over 18 months, with symptoms including hematemesis, melena and hemodynamic instability. Early endoscopy (#24 hours) was performed in 69.3% of cases, enabling timely diagnosis and therapeutic intervention. Variceal bleeding emerged as the predominant etiology (45.5%), followed by peptic ulcer disease (34.6%), Mallory‐Weiss tears (1.98%) and malignancy (0.99%). Endoscopic therapy included band ligation (30.7%), injection of adrenaline (5%) and conservative management for 61.4% of cases. These modalities have been widely documented in previous studies as effective approaches for managing UGIB, particularly in resource‐limited settings where timely intervention is crucial. Risk stratification using the Rockall score categorized most patients as moderate risk, with a mean score of 3.6. This study utilized the Rockall score to assess both clinical and endoscopic risk factors, a method validated in prior studies for its predictive accuracy in similar UGIB contexts. Adverse outcomes, including rebleeding (1.98%) and mortality (0.99%), were notably low, highlighting the efficacy of early endoscopic intervention and comprehensive management. This study underscores the critical role of early endoscopy in improving UGIB outcomes. It demonstrates that timely intervention, guided by validated risk assessment tools like the Rockall score, can significantly reduce complications and mortality. Further research should explore integrating advanced endoscopic techniques and refining risk stratification models to enhance patient outcomes.
How to cite this article:
Monil Shah, Jay Naik, Akshay Sutaria and Rahul Damor. Endoscopic Strategies for UGIB: Comprehensive Findings from a Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.617.622
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.617.622