Seasonal variation in acute variceal upper gastrointestinal tract bleeding: Experience of one decade from Northern India

• Main Authors: Shabir Ahmad Shiekh, Ali Imran, Showkat Ahmad Kadla, Mohammad Yasin, Bilal Ahmad Khan, Zeeshan Ahmad Wani, Nisar Ahmad Shah
• Format: Article
• Language: English
• Published: Manipal College of Medical Sciences, Pokhara 2021-08-01
• Series: Asian Journal of Medical Sciences
• Subjects: acute variceal upper gastrointestinal bleed (avugib); varices; seasonal variation; upper gastrointestinal bleed (ugi bleed)
• Online Access: https://www.nepjol.info/index.php/AJMS/article/view/36803
• ISSN: 2467-9100; 2091-0576

Background: There have been several reports of seasonal variations in the incidence of esophageal variceal bleeding but the data available from this part of the world is scanty. Aims and Objective: We aimed to study whether monthly and seasonal climatic changes during the year have an influence on the incidence of variceal bleeding in our setting and whether a particular time in the year can be defined as a high-risk period for variceal bleed. Materials and Methods: Data of all the patients with diagnosis of acute variceal upper gastrointestinal bleed who presented to our endoscopy centre from January 2010 to December 2019 was retrieved and analysed. The demographic data, clinical presentations and seasonal and monthly variation was analysed. Results: Out of a total of 10200 patients presenting with upper gastrointestinal bleed during the study time period, 530 patients had a diagnosis of variceal bleed after esophagogastroduodenoscopy (EGD). The majority of variceal bleed patients (48.5%) were seen between May to August months of the year. Conclusions: Contrary to the most of the literature which shows increased frequency of variceal bleed during winters, our patients bleed more during the months of May and August. This could be explained on the basis of unique socio-cultural and demographic pattern of this part of the world.