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Article
VIDEO CAPSULE ENDOSCOPY

Author: Sarkis K Strak
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 77-80
Publisher: Basrah University جامعة البصرة

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Abstract

VIDEO CAPSULE ENDOSCOPYThe first rigid endoscope that allowed inspection of the upper gastrointestinal tract under a general anaesthetic was introduced by Bruening in 1907. Forty years later, the first flexible fiber optic instrument allowed procedure to be done under light sedation. A major advance occurred in 1998 when capsule endoscopy was developed in Europe and introduced into clinical practice, which enabled complete visualization of the small intestine. The U.S Food and Drug administration (FDA) approved its use in August 2001. Since then, more than 50000 capsules have been used in more than 50 countries.Historically, the small intestine was considered technically difficult to examine because of its length, location, and tortuosity.Esophago-gastro-duodeuoscopy allows for direct inspection of the duodenum, similarly, incubating the ileocecal valve at colonoscopy or so called terminal ileoscopy can access the very distal portion of the small intestine. Evaluating the more than 20 feet of small bowel that lie beyond the reaches of these instruments has been impeded by difficult technical challenges. Yet, examination of this segment is especially important in evaluating patients with various disorders including gastrointestinal bleeding from an obscure source.Previously the small intestine could be partly assessed by a push enteroscope, which is longer (about 2 meters) than a standard gastroscope and therefore allows examination of up to 80-120 cm beyond the ligament of Treitz, while intraoperative enteroscopy required a general anasethetic and laparotomy where the enteroscope is manually fed though the small intestine and gradually pulled back to allow for close inspection of the mucosa.Barium follow though and enteroclysis allow indirect examination of the small Bowel but have a low diagnosis rate1, relatively insensitive for flat diminutive, infiltrative or inflammatory lesions.Given the limitation of these tests, there has been a surge in investigations on the practical diagnostic ability and clinical utility of capsule endoscopy that allows for direct visualization of the entire small intestine lining2,3.TBas J Surg, March, 12, 2006

Keywords

VIDEO --- ENDOSCOPY


Article
Are Indications For Esophago Gastro Duodenoscopy Properly Followed?

Authors: Zuhair B Kamal زهير كمال --- Mohammed A Al-Atroshi محمد التروشي --- aad H Sultan سعد سلطان --- Wisam A Hussein وسام حسين
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 1 Pages: 56-60
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Symptoms related to the upper gastro-intestinal tract are very common. Attribution of these symptoms to upper G. I. T.diseases are usually done on clinical bases, which could be confirmed by Esophago Gastro Duodenoscopy (EGD). The use of such tools might increase the diagnosis accuracy for such complaints. The indications for upper G I endoscopy might decrease the negative results of endoscopies.Objective: To follow strict indications for Esophago Gastro Duodenoscopy in order to decrease the negative endoscopy results. Methods: One thousand eight hundred and ninety cases were subjected to EGD from Feb. 1999 to Feb 2009 at Alkindy Teaching Hospital and Abd-Al-Majeed private hospital in Baghdad, Iraq. A special endoscopy unit form was prepared containing data from patients, clinical complaint, indications for endoscopy request, and the endoscopic diagnosis, biopsies were taken when indicated and subjected to histopathological examination. All these data were studied and analyzed.Results: Out of the total 1890 patients there were 1114 males and 776 females with male to female ratio 3/2, the most common age group ranged from 21 to 50 years with a mean age of 32 years. Upper abdominal pain was the most common indication (30%), upper GI bleeding (27.94%), duodenal ulcer follow up (25.5%). The diagnosis of chronic DU was established in (40.21%) of cases, normal endoscopic results were found in (34.6%), duodenitis and gastritis in (15.2%).Conclusion: The high number of normal gastrointestinal endoscopies necessitates the need to follow strict indications before subjecting the patients for endoscopy.


Article
H. Pylori Infection Among Adults Undergoing Gastrointestinal Endoscopy

Author: Leen K.Mustafa Kamil
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 1 Pages: 37-40
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACK GROUND:INTRODUCTION: Helicobacter Pylori was brought to the worlds attention 1983by Warren and Morshall, it is now acknowledged that H.Pylori gastritis is the one of the most common human bacterial infectious disease and is causally linked with gastritis , peptic ulcer disease, gastric adeno- carcinoma ,and gastric B.cell lymphoma.(1)H.Pylori is a slow growing , microaerophilic, highly motile, Gram negative spiral organism whose most striking biochemical characteristic is the abundant production of urease enzyme which is an important indirect marker of the organisms presence because it is the bases of biopsy rapid unease test, the urea broth test and as an antigen for serologic detection . The prevalence of H.Pylori among healthy individuals varies depending on age , socioeconomic class, country of origin. In developing countries children are typically infected by age 10 years, whereas in developed countries there is an age related increase in prevalence (1,2 ).The major risk factor for infection is the socioeconomic status of the family during childhood as reflected by number of persons in a house hold, sharing a bed ,and absence of a fixed hot water supply all of which probably are markers for the level of sanitation and house hold hygiene(3,4,5 ).* Immunology Unit, Teaching Laboratories-Medical CityIt is not known how often an acute infection with H.Pylori sponteneously clears , studies in children suggest that sponteneous loss of infection may be common (6 ).Infection in adults appears to be typically long lived and is probably life long.(7 ) . Most infected individuals have chronic active, non atrophic superficial gastritis .This histological form is usually asymptomatic but may be associated with duodenal ulcer; chronic atrophic gastritis , gastric adeno carcinoma or gastric lymphoma. (6,7 ) Diagnostic tests for H.Pylori can be divided into those that do and do not require samples of gastric mucosa, mucosal biopsy of histological examination of the specimen for the presence of H.Pylori and or gastritis has been the diagnostic method of choice until recently :to increase diagnostic yield ,use of large cup biopsy and 3 samples biopsy (lesser curve Angularis ,greater curve pre pyloric and greater curve body ) examined by both Giemsa stain as a standard stain and hematoxylin & eosin stain which is excellent to determine histologic chronic or chronic active gastritis and demonstrates H.Pylori if large number of organisms are present ( 1,6) . Biopsies may also be tested for the presence of unrease enzyme production by agar gel slide test such as rapid urease test which is excellent for screening for the presence of H.Pylori in patients with peptic ulcer.Tests that do not require a mucosal biopsy include serologic tests as urea broth test, detection ofinfection in adults To determine the prevalence of H.Pylori undergoing oesphagogastrodudenoscopy by two methods serology (ELISA technique) comparing it with histopathology.METHODS:Forty patients referred to the GIT clinic of AL-Yarmok teaching hospital for GI endoscopy were involved in this study; their biopsies and sera send to histopathology and immunology department respectively for detection of H.Pylori. RESULTS:H.Pylori Abs(IgG) were detected in the sera of 25(63%) patients by ELISA,15 (37.50%) of them H.Pylori was also seen in their biopsies by Giemsa s stain. Most patients with detectable antibodies are those with chronic gastritis ;however patients complaining from reflux oesophagitis showed a significant absentees of these Abs.CONCLUSION:Most patients with gastritis had detectable H,Pylori Abs in their sera; However the study reveled a significant decrease in H.Pylori Ab detection in patients sera with reflex esophagitis (R.O).

Keywords

Endoscopy --- H.Pylori --- ELISA


Article
Prevalence of celiac disease in patients with dyspepsia in Najaf

Author: DR.SADIQ JEBAR ALI MB.ChB .DM.CABMKUFA MEDICAL COLLEG
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2009 Volume: 12 Issue: 1 Pages: 382-387
Publisher: University of Kufa جامعة الكوفة

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Abstract

AbstractBackground ; Although 30% to 40% of patients with celiac disease (which affects 1 in 200 individuals) have dyspeptic symptoms, there is a lack of data concerning the prevalence of celiac disease in patients with dyspepsia. Patients and Methods:In this prospective study we enrolled all patients (71 patient) that undergoing endoscopy of the upper gastrointestinal tract for dyspepsia. From each patient (4) duodenal mucosal biopsies were taken and examend by (2) histopathologist for the diagnosis of CELIAC disease..Results:In this study (71) patients , (32)male and (39) female,there ages were ranged from( 16-70) years ,all of them have dyspepsia .The results of endoscopy were ;1-normal in 66 patients .2-diagnosis of Celiac disease ih 5 patients .The results of histopathology were;1.normal in 64 patients .2.diagnosis of Celiac disease in 7 patients.The sensitivity and specificity of endoscopy diagnosis when compared with histopathology were (71%and,96%)respectivly.Conclusions; from this study we can conclud that celiac disease is common in assosiation with dyspepsia and endoscopic findings can can be used for the diagnosis of Celiac.


Article
Endoscopic Fndings in Uraemic Patients With Dyspeptic Symptoms
المشاهدات التنظيرية عند المرضى المصابين بعجز الكليتين المزمن ولديهم عسر هضم

Author: Dr:Dheyaa Ali Ahmed اعداد: الدكتور ضياء علي أحمد المشهداني
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2010 Volume: 13 Issue: 1 Pages: 125-131
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective:1-To correlate the endoscopic findings with clinical diagnosis of patients with chronic renal failurein regard to the cause of their dyspeptic symptoms.2-to find out the frequency of various mucosal lesions of upper gastrointestinal tract in these patients as shown by endoscopic examination in comparism to the findings in non renal failure duspeptic patients.Patients and methods:Aprospective study carried out between March 2007 to september2007 on the admitted 25 uraemic patients with dyspeptic symptoms in AL-Sader teaching hospital and AL-Hakeem general hospital in AL-NAJAF city in IRAQ.(19 peritoneal dialysis and 6 patients on conservative treatment).History and clinical examination had done for each patients and clinical diagnosis of the dyspeptic symptoms was made before the endoscopic examination.Blood urea was measured in all patients and the patients are classified arbitrary in to four groups according to the level of the blood urea before endoscopic examination. Also the endoscopic results of 1000 dyspeptic non uraemic patients examined during the same period were also analyzed and compared with those of uraemic patients. Results:Clinical diagnosis depending on history and clinical examination was as follows. 4 patients highly suggestive of esophagitis ,9 patients highly suggestive of gastritis,12 patients highly suggestive of peptic ulceration. While the endoscopic results of the of the dyspeptic uraemic patients were 15 patients got dudenitis,12 patients got gastritis,7 patients got esophagitis,3 patients got esophageal hiatus hernia,3 patients with normal finding. Regarding the endoscopic the endoscopic findings of 1000 cases of non uraemic patients with dyspeptic symptoms were esophagitis in 115 of the cases,gastritis in 113 of the cases,gastric ulcer in 35 of the cases,dudenitis in 190 of the cases,dudenal ulcer in 313 of the cases,other normal findings and others in 277 of the cases.Conclusion:This study is clearly shown no peptic ulcer was detected in uraemic patients involved in our study, while there is increase in the frequency of mucosal lesions in the form of esophagitis, gastritis, and dudenitis in comparism with non uraemic patients with dyspeptic symptoms.

الهدف من الدراسة:1-لأيجاد علاقة بين المشاهدات التنظيرية وبين التشخيص السريري للمرضى المصابين بعجز الكليتين المزمن والذين يعانون من عسر الهضم.2-لأيجاد نسبة الأصابات المختلفة في بطانة الجهاز الهضمي العلوي من خلال الفحص التنظيري للمرضى المصابين بعجز الكليتين المزمن ولديهم عسر هضم مقارنة مع المشاهدات التنظيرية للمرضى الغيرمصابين بعجز الكليتين ولديهم ايضا عسر هضم.المواد والطرق المستخدمة:دراسة مستقبلية اجريت مابين شهر أذار 2007 ولغاية شهر أيلول 2007 ,على المرضى الراقدين في مستشفى الصدر التعليمي ومستشفى الحكيم العام في محافظة النجف حيث تم أختيار 25 مريض مصاب بعجز الكليتين مع عسر الهضم (19 منهم كانواعلى الغسل البريتوني و6 منهم على العلاج التحفظي)حيث تم اجراء الفحص السريري لهم واجراء قياس نسبة اليوريا في الدم وقد تم تصنيف هؤلاء المرضى الى أربعة مجاميع حسب هذه النسبة قبل اجراء الفحص التنظيري لهم.كما تم تحليل النتائج التنظيرية للمرضى الغير مصابين بعجز الكليتين والذين لديهم عسر هضم وقد كان عددهم 1000 مريض خلال الفترة من أذار ولغاية أيلول 2007وقد تم اجراء المقارنة بين المجموعتين.النتائجكانت نتائج الفحص السريري للمرضى المصابين بعجز الكليتين كالاتي 4 منهم احتمالية وجود التهاب المريء 9 منهم احتماية وجود التهاب المعدة و12 منهم احتماليةوجود تقرحات في بطانة الجهاز الهضمي العلوي,بينما كانت نتائج الفحص التنظيري لهم كالاتي 15 منهم مصاب بالالتهاب الاثني عشر ,12 منهم مصاب بالتهاب المعدة ,7 منهم مصاب بالتهاب المريء,3 منهم مصاب بالفتق,3منهم طبيعي.اما نتائج الفحص التنظيري لألف من المرضى غير المصابين بعجز الكليتين فهي كالأتي 115 مريض مصاب بألتهاب المريء 113و مريض مصاب بالتهاب المعدة و35 مريض مصاب بقرحة المعدة و190 مريض مصاب بالتهاب الاثني عشر و313 مريض مصاب بقرحة الاثني عشر و277 مريض الفحص التنظيري لهم طبيعي.خاتمةهذه الدراسة توضح عدم وجود التقرحات في بطانة الجهاز الهضمي العلوي عند المرضى المشمولين بهذه الدراسة وهم من المصابين بعجز الكليتين المزمن, بينما كانت هناك زيادة في نسبة الاصابة بالتهاب المريء والمعدة والاثني عشر مع مقارنتهم بالمرضى غير المصابين بعجز الكليتين ولديهم عسر هضم.

Keywords

uraemic --- dyspepsia --- endoscopy


Article
ECG CHANGES DURING UPPER GASTROINTESTINAL TRACT ENDOSCOPY (A PROSPECTIVE STUDY)

Authors: Mutez Nahi Mansur --- Issam Merdan --- Ali Raheem --- Mazin Hawaz Al Hawaz
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 86-91
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to evaluate the cardiac changes and complications that occurred in patients who underwent upper gastrointestinal tract endoscopy. The study was conducted from January 2002 to December 2002at Basrah General Hospital and Al-Sadir Teaching Hospital. One hundred and forty eight patients complaining of upper gastrointestinal tract disorders were included in this study. Detailed history, physical examination and ECG was taken before, during and half hour after endoscopic examination. Patients were divided into two groups according if they have previous cardiopulmonary diseases.One hundred and forty eight patients included in the study, 91 males and 57 females. The age group between 20–40 years represent the commonest group underwent oesophago-gastroduodenoscopy (O.G.D) examination.All ECG changes that developed in patients before endoscopic examination arise from those who had cardiopulmonary diseases. Forty-two (40.4%) and 21 (47.7%) patients from group I. and group II. respectively showed abnormal ECG changes while 18 (17.3%) and 13 (29.5%) patients from group I. and group II. respectively showed abnormal ECG findings half hour after endoscopic examination . Bradycardia represents the commonest ECG changes occurred during and half hour after examination. We concluded that OGD is a safe procedure but in elderly patients and those with cardiopulmonary disease ECG monitoring should be done during endoscopic examinationBas J Surg, March, 12, 2006

Keywords

ECG --- GASTROINTESTINAL --- ENDOSCOPY


Article
Upper Gastrointestinal Endoscopic Findings of Patients Presnting with Dyspepsia in Diyala Province

Author: Ahmed M Athab Almissari احمد مذب عذاب المساري
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2013 Volume: 5 Issue: 2 Pages: 91-95
Publisher: Diyala University جامعة ديالى

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Abstract

Introduction: Endoscopy of upper gastrointestinal tract is a safe and easily carried out procedure of high diagnostic value and also atheraputic value in some cases.Endoscopy is not costly and has aremarkable low incidence of morbidity, Dyspepsia is a non-specific group of symptoms related to the upper GI tract.It is the medical term for indigestion, a symptom that includes epigastric pain, heartburn, distension, nausea or 'an acid feeling' occurring after eating or drinking. The symptom is subjective and frequent. The most common causes of indigestion are gastroesophagealacid reflux and functional dyspepsia. Other cases are a consequence of a more serious organic illness[6].Objective: To evaluate the common causes of dyspepsia by endoscopic examination.Material and methods: Atotal of(9785) endoscopic examination of upper GI tract were recorded and analyzed during the period between first of January 1998 to end of December 2009.Results: The endoscopic findings of (9785) patients with dyspepsia were studied .out of 9785 patients ,5112 patients(52.24%)were males while 4673(47.76%) were females.The endoscopic findings were normal in (3219)patients(32.89%)The abnormal findings included duodenal lesion in 3793 patients(38.76%) ,gastric lesions in 1492 patients (15.24%) ,esophageal lesions in 1111 patients(11.35%) and others causes in 170 paients(1.73%).Conclusion: The upper gastrointestinal endoscopy has ahigh diagnostic values in the investigations of upper gastrointestinal symptoms


Article
Diagnostic Indications for Upper GIT Endoscopy Prospective Study

Authors: Riyadh Zair Alrubaie --- Haydar Talib Almousawi
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2016 Volume: 9 Issue: 2 Pages: 2451-2454
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Upper GIT endoscopy is considered a safe procedure performed by a doctor, a well-trained subspecialist who uses the endoscope to diagnose and, in some cases, treat problems of the upper digestive system.Aim: to set a guideline for indications for upper GIT endoscopy in AKadhymiah Teaching Hospital.Materials And Methods: Prospective study of 600 patients presented with upper GIT symptoms and referred for upper GIT endoscopy. Results & Discussion: The results suggest the importance of symptoms indicating upper GIT endoscopy are in the following orders, dysphagia, acidity, melaena, vomiting, haematemesis, heartburn, nausea, epigastric pain and dyspepsia. The highest age incidence with positive endoscopic findings is between 30-40years ,male more than female, (male/female ratio 2/1). Conclusion: The duration of symptoms over 1 month found to be significant indication. There is no relation between smoking, alcohol or drug intake with endoscopic findings in our study

Keywords

GIT endoscopy --- indications --- pain


Article
ENDOSCOPIC DILATATION OF ESOPHAGEAL STRICTURES IN CHILDREN: CAUSES AND OUTCOME IN 47 PATIENTS
التوسيع التنظيري لتضيق المرىء لدى الأطفال: الأسباب والنتائج في 47 مريضا

Authors: AZAD J. ALI ازاد علي --- ARAS A. ABDULLAH اراس عبدالله --- TAHA A. KARBOLI طه كربولي --- ADNAN MH. HAMAWANDI عدنان حموندي
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2010 Volume: 4 Issue: 2 Pages: 30-38
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background and Objectives Esophageal strictures in children have serious effects on the child health; the advances in digestive endoscopy opened the door for many therapeutic options, mainly endoscopic dilatation. The aim of the current study was to assess the causes of esophageal strictures in children and the outcome of endoscopic dilatation in Kurdistan center for gastroenterology and hepatology.Methods Retrospective study of 47 children with esophageal strictures undergone endoscopic dilatation at Kurdistan center for gastroenterology and hepatology.Results The predominant cases were corrosive strictures 46.8%, followed by postoperative 25.6% and peptic 21.3% strictures. They were submitted to 257 dilatation sessions, patients with corrosive strictures required more dilatation sessions and were discharged later than the other causes for esophageal stricture. Forty patients 85.1% were discharged; three were referred to surgery, while four are still undergoing the dilatation sessions. Esophageal perforation complicated the course in 2 cases (0.8% per procedure).Conclusion Endoscopic dilatation of esophageal strictures in children is a relatively safe procedure with good results and low rate of complications.

خلفية واهداف البحث: تأثيرات تضيق المرىء على صحة الطفل خطيرة، وفتحت التطورات الحديثة في تنظير الجهاز الهضمي الباب لعدة خيارات للمعالجة منها لاتوسيع التنظيري. الهدف من الدراسة هو دراسة أسباب تضيق المرىء لدى الأطفال و نتائج التوسيع التنظيري في مركز كردستان لأمراض الجهاز الهضمي.طرق البحث: دراسة ارتجاعية ل47 طفلا لديهم تضيق المرىء، اجري لهم توسيع المرىء التنظيري في مركز كردستان لأمراض الجهاز الهضمي .النتائج: كانت الحلات السائدة هي تضيقات عقابيل تناول المخرشات (الأحماض والقلويات) 48,6 %، يليها تضيقات عقابيل العمليات الجراحية 25,6 %, ثم تضيقات نتيجة ارجاع المعدي للمرىء 21,3%. أجرى 257 جلسة توسيع لكافة المرضى, احتاج مرضى تضيق الرىء جراء المخرشات الى جلسات توسيع أكثر من بقية المرضى كما تاخروا في اكتساب الشفاء. أربعون مريضا اكتسبوا الشفاء التام، ثلاث مرضى احياوا للجراحة فيما يستمر اربعة مرضى في جلسات التوسيع. انثقاب المرىء كان الاختلاط في حالتين من المرضى.الاستنتاج: التوسيع التنظيري لتضيق المرىء لدى الأطفال طريقة امينة نسبيا وذات نتائج ايجابية جيدة مع نسبة ضئيلة من الاختلاطات.

Keywords

Endoscopy --- esophagus --- Stricture --- Dilatation


Article
Endoscopic Findings in Acute Upper Gastrointestinal Bleeding in Al-Ramadi Teaching Hospital
ناظور الجهاز الهضمي العلوي لحالات النزف المعدي في مستشفى الرمادي التعليمي

Authors: Yasin H Majeed ياسين حماد مجيد --- Maher A Jassim ماهر علي جاسم --- Hameed I Al-Zagroot حميد إبراهيم
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2016 Volume: 29 Issue: 2 Pages: 16-20
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Upper gastrointestinal bleeding (UGIB) is a common emergency medical condition that may results in high patient morbidity and mortality, its causes are vary from country to country. Upper endoscopy is a safe and easily carried out procedure and consider the diagnostic modality of choice for (UGIB) and also has therapeutic value in some cases. Aims: The purpose of this study was to evaluate the endoscopic findings in patients presenting with UGIB and its frequency among these patients in our endoscopy unit.Patients and methods: This study was carried out in Gastroenterology & Hepatology Department of AL-Ramadi Teaching Hospital, from January 2012 to February 2013. 136 patients presenting with upper GI bleeding. Endoscopy was performed on each patient and the findings documented. Results: The mean age was 46.6 years ± SD 12.64. years. There were 95 (69.8%) males and 41 (30.2%)females. The most common endoscopic finding was peptic ulcer disease ((44.8%, n=61) 45 patients of them were duodenal ulcer and 16 patients were gastric ulcer), followed by gastritis (13.9%, n=19), esophageal varices (11%, n=15). Gastric erosions were found in 10 patients (7.3%), stomach carcinoma (5.1%, n=7) duedenitis (4.4%, n=6) esophagitis (2.2%, n=3), Mallory-Weis tears(2.2%, n=3), gastric polyp (0.7%, n=1) and (7%, n=9) normal upper GI endoscopy .Conclusion: In patients with acute upper GI bleeding, the most common endoscopic finding is peptic ulcer disease.

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