Abstract: Upper gastrointestinal bleeding (UGIB) is one of medical emergencies accounting for up to 100–170 cases per 100,000 population annually. This condition has a significant mortality rate ranging from 4 to 15% and this number remained unchanged for the past 30 years, despite the advanced diagnostic and therapeutic modalities. UGIB is one of the most dreadful complications commonly found in patiens with liver cirrhosis. Although UGIB in cirrhotic patients is mainly due to a ruptured varices, not a few number of cirrhotic patients bleed from other sources as well. This study aims to determine the prevalence and profile of upper gastrointestinal bleeding in cirrhotic patients in Sanglah General Hospital year 2018. This research is a descriptive study using cross-sectional method with total sampling technique, then the data that met the inclusion criteria and did not meet the exclusion criteria were subjected to the study and then analyzed. The prevalence of SCBA bleeding in cirrhosis patients in Sanglah Hospital in the 2018 period was 44.9%. Of the 17 subjects who had UGIB, endoscopic findings of esophageal varices were found in 16 (94.1%) patients, while gastropathy portal hypertension (GHP) in 13 (76.47%) patients, gastric varices in 5 (29.4%) patients , erosive mucosal disease in 5 (29.4%) patients, and peptic ulcer disease in 2 (11.8%). There was 1 patient with normal endoscopic finding without any abnormalities (5.9%).
Keywords: upper gastrointestinal bleeding, liver cirrhosis, variceal bleeding, non-variceal bleeding.
Title: Prevalence and Profile of Upper Gastrointestinal Bleeding in Cirrhotic Patients in Sanglah General Hospital Denpasar, 2018
Author: Isadora Tiofunda Budiman, I Ketut Mariadi, Gde Somayana
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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