Журнал клинических случаев

Frequency of Upper Gastrointestinal Bleeding in Elderly Patients with Iron Deficiency Anaemia Presented at Liaquat University Hospital Jamshoro

Abstract

Bedarbakhat Khan, Kashif Ali Fazlani and Gordhan

Objective: To determine the frequency of upper gastrointestinal bleeding in elderly patients with iron deficiency anemia present at Liaquat University Hospital Jamshoro.

Subject and methods: Total 100 subjects of conformed upper gastrointestinal bleeding aged 60 years and above, with iron deficiency anemia were enrolled in the study. All other patients who were not meet to inclusive criteria were excluded from study, all patients were subjected to thorough checking of blood CP, ferritin. All patients were than undergone, upper GI endoscopy in which presence/absence of bleeding site determined, data were analyzed on SPSS version 16.

Results: A total of 100 subjects with iron deficiency anemia were examined in this study. Overall 91% had upper gastrointestinal findings at endoscopy. Out of 100 subjects, 62 (62%) were males and 38 (38%) were females. Out of these 42 (42%) had got bleeding source in the stomach, 36 (36%) patients had bleeding source in the duodenum, 13 patients had got bleeding source in the esophagus the remaining 9 patients had got no source of bleeding after thorough upper GI endoscopy. Out of 62 males, 26 (41.93%) had bleeding source in the stomach, 22 males (35.48%) had Bleeding source in the duodenum, 8 (12.90%) had bleeding source in the esophagus and 6 (9.67%) males had no lesion identified. While in total 38 females, 16 (42.1%) had bleeding source in the stomach, 14 (36.84%) had bleeding source in the duodenoum, 5 (13.15%) had Bleeding source in the esophagus and 3 (7.89%) had no bleeding source identified. The mean age of the patients recruited in this study was 66.9 with standard deviation of 6.47 with minimum 60 and maximum 80 years. Males are affected more than females. Maximum number of the patients with UGIB fall in 60-65 years age groups. Males and females between 60-65 years were found to have UGIB in stomach.

Conclusion: In this study, it was conducted that frequency of blood loss in elderly is from stomach followed by duodenum and esophagus. Upper GI endoscopy is investigation of choice in evaluation of patients suspected as bleeding from Upper gastro intestinal tract.