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OBJECTIVE: To evaluate patient's satisfaction of endoscopy at Tertiary Care Hospital. STUDY DESIGN: A cross sectional observational study. PLACE AND DURATION: This study was conducted at Medical unit IV, Liaquat University of Medical & Health Sciences (LUMHS) Jamshoro from 27th Aug'2015 to 26th Feb'2016. Methodology: Our study population included 126 patients who underwent endoscopy. Patient satisfaction after the endoscopy was assessed by modified Group Health Association of America-9 (GHAA-9) questionnaire. In terms of satisfaction, patients were asked to rate the waiting time at the office, the personal manner and technical skills of physician, the personal manner of support staff, adequacy of explanation about the procedure and overall rating of the visit. They were also asked to rate how long they waited to get an appointment. RESULTS: The average age of patients was 40.94±10.77 years. There were 57.94% males and 42.06% females. A high percentage of patients' voiced satisfaction of the endoscopic procedure (87.3%). Satisfaction rate for waiting time for appointment and on the procedure day was lower compared to other questions. Stratification analysis showed that satisfaction rate was not significant among different age groups (p=0.146). Similarly satisfaction of endoscopy was also above 80% in both males and females which is also not significant (p=0.34). CONCLUSION: Although a high proportion of patients were satisfied with endoscopy, we identified discomfort during procedure and long waiting time as the main factors for patient dissatisfaction. To further increase patient satisfaction, it is imperative to address these factors. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To evaluate with endoscopy the common causes of upper gastrointestinal bleeding in patients presenting with hematemesis within 24 hours of admission. DESIGN: A cross sectional observational study. SETTING: Medical unit III, LUMHS Jamshoro. DURATION: Six months from 1st Jul, 2014 - 31st Dec, 2014. METHODS: One hundred cases of hematemesis were included in the study. Patients who refused endoscopy and those on NSAIDs, anticoagulants & steroids were excluded from study. Upper gastrointestinal endoscopy was performed within 24 hours of admission. RESULTS: Out of 100 patients selected, 51 (51%) were males and 49 (49%) females. Majority of patients were between 30-60 years with mean age of 43.97 years ±SD 7.8. Variceal bleed was the most common cause n=54 (54%) followed by peptic ulcer disease (PUD) n=20 (20%). Esophagitis was noted in ten (10%) patients, gastric erosions in nine (9%), tumors of upper gastrointestinal tract in six (6%) and Mallory-Weiss tear was responsible in only one (1%) cases. CONCLUSION: Variceal bleeding secondary to portal hypertension is the most frequent cause of bleeding in upper gastrointestinal tract. Increased prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) in this part of the world has resulted in increased incidence of liver cirrhosis and portal hypertension highlighting the importance of prevention of HBV and HCV. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To evaluate patients of non-variceal upper gastrointestinal bleeding for clinical intervention on the basis of Blatchford scoring system. STUDY DESIGN: A cross sectional observational study. PLACE AND DURATION: At Medical Unit III, Liaquat University of Medical & Health Sciences (LUMHS), Jamshoro from 1st Sep'2014 - 28th Feb '2015. METHODOLOGY: Study population included 50 patients of upper gastrointestinal bleeding. Blatchford score was calculated for each patient. Patients needing clinical intervention to control bleeding were defined as high risk having a Blatchford score of =5. RESULTS: A total of 50 patients took part in this study with a male to female ratio of 1.5:1. The age range was 20-85 years, with mean age of 39.24 ± 13.37 years (SD). The Blatchford score identified 20 of 50 patients as high risk for clinical intervention. These patients presented with 2-3 episodes of hemetemesis and vitally un- stable and referred for endoscopy. Two third of our patients presented with one episode of bleeding and vitally stable & were categorized as low risk. Peptic ulcer disease came out to be the main cause of non variceal bleeding on endoscopy. CONCLUSION: Decision for endoscopy depends upon Blatchford score and general health of patients. We observed Blatchford score to be helpful for differentiating among high and low risk groups and to evaluate the need for clinical intervention in patients of upper gastrointestinal bleeding admitted in the hospital. [ABSTRACT FROM AUTHOR]