| dc.contributor.author | Obiero, E Teteyian | |
| dc.date.accessioned | 2013-05-24T06:34:22Z | |
| dc.date.available | 2013-05-24T06:34:22Z | |
| dc.date.issued | 1991 | |
| dc.identifier.citation | Degree of Master of Medicine | en |
| dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25082 | |
| dc.description | A dissertation submitted in part fulfillment for the
Degree of Master of Medicine of the University of
Nairobi. | en |
| dc.description.abstract | A prospective study is reported of 97 consecutive patients admitted
to the Kenyatta National Hospital due to upper gastrointestinal
haemorrhage. A positive endoscopic diagnosis was made in 90 (93%)
cases. Three major causes of bleeding were found to be oesophageal
varices in 34 (35%) patients, duodenal ulceration in 17 (17.5%) patients
and superficial inflammatory lesions in 17 (17.5%) patients. Seventeen
(17.5%) patients had multiple lesions with superficial inflammatory lesions
and oesophageal varices as the commonest combination. In 86 (88%)
patients bleeding settled on simple conservative measures which included
intravenous fluids, blood transfusion and antacids. Further haemorrhage
was observed in 11 (11.3%) patients. In this study tachycardia
(>100jminute), hypotension (systolic BP < 100 mmHg) and low
haemoglobin «8 gjdl) at admission were all correlated with a poor
outcome. Bleeding varices bleeding had the worst prognosis and the
overall mortality rate was 5%. | en |
| dc.language.iso | en | en |
| dc.publisher | University of Nairobi | en |
| dc.title | The clinical pattern and factors that influence the short term outcome of upper gastrointestinal bleeding at Kenyatta National Hospital | en |
| dc.type | Thesis | en |
| dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
| local.publisher | School of Medicine | en |
