Abstract
Objective: To determine the significance of Upper ratio of 2.2:1. Esophageal varices was the most
GI endoscopy for the detection of upper GI common cause of upper GI bleeding seen in 80
bleeding in children visiting a tertiary care hospital, (65.6%) patients, followed by gastric erosion in 60
Karachi, Pakistan. (49.2%) and H. pylori in 15 (12.3%) cases.
Methodology: A total of 122 Children attending Conclusion: Upper GI Endoscopy is safe
the pediatric emergency and pediatric unit of civil procedure of utmost importance in identifying the
hospital Karachi with history of upper GI bleeding cause of upper GI bleed in children, providing
were included in this study which lasted for six valuable information on the pattern of upper GI
months from May 1, 2015 to November 30, 2015. diseases in children. Esophageal varices was the
After 24 hours of stabilization when bleeding most frequent cause of upper GI bleeding followed
stopped then endoscopy was done. For gastritis, by gastric erosions. (Rawal Med J 201;43:209-
biopsy was taken for histopathology. Gram -ve (S 212).
shape rod) bacteria were labeled as H. pylori. Key Words: UGI bleeding, Esophageal varices,
Results: Mean age was 4.8±3.2 years with M:F gastric erosion, H Pylori.
