ENDOSCOPIC DIAGNOSIS OF DUODENAL ULCER FREQUENCY IN CHRONIC LIVER DISEASE, A TERTIARY CARE ASSESMENT.

Abstract

Introduction: The duodenal ulcers are commonly seen in subjects of liver cirrhosis. Portal hypertension, splenomegaly, EV (esophageal varices) and duodenal ulcer are caused by cirrhosis. Agrave complication of duodenal ulcer associated with noteworthy morbidity and mortality is bleeding. It is therefore suggested for the subjects suffering from liver cirrhosis must be observed routinely for the existence of duodenal ulcers initially at the time of diagnosis and then intermittently during life. Duodenal ulcers may result in severe bleeding in subjects suffering from liver cirrhosis, stressing that duodenal ulcer should be monitored as the source of hemorrhage reasonably than varices (esophageal). Current research is aimed to demonstrate the relationship between duodenal ulcers in subjects with cirrhosis as presented in Medical Department. The implementation of its consequences might assist in the timely treatment of dangerous bleeding from upper gastro-intestinal tract. Objective: Thisstudy was aimed toobserve the occurrence of duodenal ulcerincirrhotic subjects.Study design: This study was cross-sectional.Place and Duration: In the Medicine Units of PMC Hospital Nawabshah and lakyari endoscopic suit Hyder Medical Centre Nawabshah for one year duration from January 2019 to December 2019. Methods: One hundred and forty five subjects having liver ecotoxicity on the abdominal ultra sound examination and meeting the inclusion criteria were recruited in current study and the. After taking the informed consent upper gastro-intestinal tract endoscopy was performed in all subjects and the existence and count of duodenal ulcers were recorded.The location of the ulcer, its size and bleeding fromthe ulcer was alsonoted. Results: The incidence of ulcers (duodenal) was 17.24 %, i.e. 25 out of 145 patients, and 120 (82.75%) were negative for ulcers during endoscopy. Out of 145, 15(10.34%) patients with bleeding duodenal ulcer and 10 (6.89%) were without evidence of duodenal bleed. Conclusion: The study showed that 17.24% of patients with cirrhosis had duodenal ulcers. Its use will help to identify the cause of bleeding in patients with cirrhosis and help in treatment during endoscopy of the upper gastrointestinaltract.