Upper gastrointestinal mucosal lesions in chronic renal failure. |
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| Authors: | J Prakash B K Agrawal |
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| Institution: | Department of Nephrology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar. |
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| Abstract: | The upper gastrointestinal mucosa was studied endoscopically in 182 patients (140 males, 42 females) with chronic renal failure prior to hemodialysis. Endoscopy revealed normal mucosa in 77 patients (42.3%), inflammatory mucosal lesions in 88 (48.4%), peptic ulcer in 16 (8.8%; duodenal 15, gastric 1) and Barrett's ulcer in one patient. Upper gastrointestinal bleeding was noted at presentation in 16 (8.8%) cases and was associated with erosive gastritis, duodenitis and duodenal ulcer in 11, 3 and 2 patients respectively. Thus patients with chronic renal failure had a high prevalence of inflammatory mucosal changes. |
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