Frequency of Duodenal Ulcers in Decompensated Cirrhotic PatientsUndergoing Endoscopy for Upper GI Bleed

To assess the frequency of duodenal ulcers in decompensated cirrhotic patients (secondary to hepatitis B or
hepatitis C) undergoing endoscopy for upper GI bleed.

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.

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%.

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.