Endoscopic Findings in Non-Variceal Upper Gastrointestinal Bleed Patients    with High AIMS 65 Score

Objective: To determine the frequency of endoscopic findings in non-variceal upper gastrointestinal bleed patients with high AIMS 65 score at a tertiary care hospital in Karachi. Study Design: Cross-Sectional study. Place and Duration of Study: Department of Gastroenterology, Liaquat National Hospital and Medical College, Karachi Pakistan, from Jan to Dec 2020. Methodology: All 112 patients with history of melena, hematemesis and with high AIMS 65 Score >2 who fulfilled the inclusion criteria were enrolled in this study. Gastroscopy was carried out, and findings and their frequency were noted, along with Forrest classes and esophagitis grading. Results: This study included 112 patients with hematemesis and melena. The patients mean age was 43.5±12.11 years, mean duration of hematemesis was 7.12±3.10 hours. Among endoscopic findings the duodenal ulcers were the most common (46.4%) followed by gastric ulcers (42%), Camron ulcers (6.1%), esophagitis (10.7%), Mallory Weise tears (13.4%) and Dieulafoy's lesions (5.4 %) Among the duodenal and gastric ulcers, Forrest class IIC was most common i.e. (38.5%) and (46.8%) respectively. LA Grading of esophagitis showing LA Grade A (28.6 %) and Grade B (28.6 %). Conclusion: This study demonstrates that patients with high AIMS 65 scores have duodenal ulcers as most common endoscopic finding, followed by gastric ulcers. Among duodenal and gastric ulcers, Forrest class IIC was the most common finding.