Endoscopic findings in upper gastrointestinal bleeding patients at Lacor hospital, northern Uganda|
Alema, ON; Martin, DO & Okello, TR
Background: Upper gastrointestinal bleeding (UGIB) is a common emergency medical condition that may require
hospitalization and resuscitation, and results in high patient morbidity. Upper gastrointestinal endoscopy is the preferred
investigative procedure for UGIB because of its accuracy, low rate of complication, and its potential for therapeutic
Objective: To determine the endoscopic findings in patients presenting with UGIB and its frequency among these patients
according to gender and age in Lacor hospital, northern Uganda.
Methods: The study was carried out at Lacor hospital, located at northern part of Uganda. The record of 224 patients who
underwent endoscopy for upper gastrointestinal bleeding over a period of 5 years between January 2006 and December
2010 were retrospectively analyzed.
Results: A total of 224 patients had endoscopy for UGIB which consisted of 113 (50.4%) males and 111 (49.6%) females,
and the mean age was 42 years ± SD 15.88. The commonest cause of UGIB was esophagealvarices consisting of 40.6%,
followed by esophagitis (14.7%), gastritis (12.6%) and peptic ulcer disease (duodenal and gastric ulcers) was 6.2%. The
malignant conditions (gastric and esophageal cancers) contributed to 2.6%. Other less frequent causes of UGIB were hiatus
hernia (1.8), duodenitis (0.9%), others-gastric polyp (0.4%). Normal endoscopic finding was 16.1% in patients who had
Conclusions: Esophageal varices are the commonest cause of upper gastrointestinal bleeding in this environment as
compared to the west which is mainly peptic ulcer disease.
Endoscopy, upper gastrointestinal bleeding, Lacor hospital.