JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v5i2.2425 jpsim.v5i2.2425 Original Research Frequency of Duodenal Ulcers in Decompensated Cirrhotic Patients Undergoing Endoscopy for Upper GI Bleed Riaz Muhammad Yousaf Sadaf Kazi Asma docasmakazi@gmail.com * Aziz Aisha Irfan Hafiz Muhammad Maqbool Arslan Rashid Anjum Arif Memorial Teaching Hospital, Lahore *Correspondence: Asma Kazi (docasmakazi@gmail.com) 07 06 2024 2024 5 2 479 483 24 02 2024 03 03 2024 Copyright © 2024 The Author(s) 2024 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To assess the frequency of duodenal ulcers in decompensated cirrhotic patients (secondary to hepatitis B or

hepatitis C) undergoing endoscopy for upper GI bleed.

 Methodology

This descriptive study was undertaken in Department of Gastroenterology, Arif Memorial Teaching Hospital,

Lahore from February 02, 2021 to August 01, 2021. A total of 100 patients of age 30 to 70 years with either gender having

liver cirrhosis secondary to hepatitis B or hepatitis C and presenting with upper GI bleed were included in the study.

Patients with recent NSAIDs use, stress ulcers or history of poisoning by acid/ alkali were excluded. After complete

history and examination, relevant imaging and laboratory investigations were ordered. After hemodynamic optimization,

endoscopy was done and duodenal ulcer was recorded.

 Results

Among 100 patients, mean age was 49.03 ± 10.77 years, most of the them (56.0%) were 30 to 50 years old, 53.0%

were male and 47.0% were females. Results showed that frequency of duodenal ulcers in decompensated cirrhotic patients

(secondary to hepatitis B or hepatitis C) undergoing endoscopy was 16.0%.

 Conclusion

Study concluded that frequency of duodenal ulcers in decompensated cirrhotic patients (secondary to

hepatitis B or hepatitis C) presenting with upper GI bleed was quite high.

 Keywords Liver cirrhosis duodenal ulcers esophageal varices upper GI endoscopy