International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 6 | Review Article | Open Access DOI
Amol Amonkar*
Department of General, Surgery, Goa Medical College, India
*Correspondence to: Amol Amonkar
Fulltext PDFIntroduction: In Goa, physicians and surgeons frequently deal with a life-threatening emergency known as acute upper gastrointestinal (GI) bleed. It is defined as blood loss from a gastrointestinal source above the ligament of Treitz, which may present as hematemesis, melaena, or blood loss symptoms such exhaustion, weakness, and syncopal attacks.
Aims: To study the various causes of mortality of the patients with acute upper GI bleed and to identify the risk factors and demographic factors of upper GI bleed in patients.
Materials and Methods: This was a retrospective study conducted from January 2018 to January 2023 over a five-year period at Goa Medical college and hospital. Patients admitted with hematemesis and melaena, satisfying the inclusion criteria. The clinical profile, risk factors and demographic profile were noted.
Results: A total of 485 patients were studied during those periods. The most common cause of mortality was bleeding oesophageal varices secondary to alcoholic liver disease (71%). the mean age was 55 years and were predominantly males (94%). Demographically it was noted that mortality was highest in patients from Bardez Taluka.
Conclusion: According to our study, bleeding oesophageal varices were the leading cause of mortality. A common medical emergency, UGI bleeding has a high risk of mortality and morbidity as well as hefty medical expenses. Our research gives us a better understanding of the numerous causes of death, enables us to
pinpoint risk factors and demographic factors, and enables us to lower the costs of healthcare associated with this clinical entity by reducing mortality and morbidity.
Upper GI Bleeding; Mortality; Oesophageal Varices; Haematemesis
Amol Amonkar. A Comparative study of various causes of mortality in acute upper gastrointestinal bleed patients in the goan population - A five-year retrospective study at a tertiary care centre. Int Clinc Med Case Rep Jour. 2025;4(6):1-11.