DOI: 10.36347/sasjs.2021.v07i07.004

Pages: 370-377

Introduction: The Upper Gastrointestinal Bleeding is one of the most common surgical emergencies that the surgeon encounters. Early diagnosis and accurate decision regarding its management is very important. Present study is done to evaluate using APACHE-II score as a useful tool in assessing the cause and severity of UGI bleed and to evaluate the efficacy of endoscopic interventional procedure. Material and Methods: Patients attending hospital with history of acute upper GI bleed are involved in the study. Study duration was 2 yrs. Results were tabulated and interpreted in graphs, tables and pie diagrams and in percentage using SSPS version 16.1. Results: The results of this study showed the most of the cases were in 4th & 5th (50%) decade of life with males (85.8%) preponderance. The most common etiological cause was esophageal varices (45.6%), 24.4% of the cases were gastric and duodenal ulcer, 16.5% are EMD, 3.9% are malignant growth, 3.9% are MVT, 1.55% cases are Dieulafoy’s lesion and etc. The Number of cases that rebleed was more in esophageal varices (10%). Mean APACHE II scores in survivors and patients who died were 8.39 and 17.5 respectively. The patients with an APACHE II score >14 showed mortality. Overall mortality is 2.7%. Conclusion: APACHE II score is an effective tool in assessing patients with upper GI bleed for early detection, effective therapeutic intervention and predicting mortality.