TITLE:
The clinical significance of upper gastrointestinal bleeding etiology score in determining variceal bleeding
AUTHORS:
Farhan Ali, Adnan Bashir Bhatti, Siddique Akbar Satti, Tariq Mehmood Satti
KEYWORDS:
Upper Gastrointestinal Bleeding; Upper Gastrointestinal Bleeding Etiology Score; Variceal Bleeding; Non-Variceal Bleeding; Endoscopy
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.4 No.1,
January
23,
2014
ABSTRACT: BACKGROUND:
Upper gastrointestinal bleeding (UGIB) is a common, and potentially life
threatening condition, which can be divided into variceal and non-variceal
sources of bleeding. OBJECTIVE: To examine the validity of the upper
gastrointestinal bleeding etiology score compared to the current gold standard,
the emergency Esophagogastroduodenos-copy (EGD), for determining the etiology
of UGIB. METHODOLOGY: 101 patients presenting with upper gastrointestinal
bleeding presented in the emergency department of Capital Hospital, Islamabad
between February 2010 and March 2012 were in- cluded in this cross-sectional
study. The upper gastrointestinal bleeding score was computed for each case
by accounting for the clinical parameters of previous diagnosis of cirrhosis
or signs of chronic liver disease × 3.1, presence of red vomitus × 1.5, and red
N/G aspirate × 1.2. Each parameter was given a score of 1 if present, and 0 if
absent, with a total score ≥3.1 favoring variceal bleed, and a score of