Impact of Diagnostic and Therapeutic Upper and Lower Gastrointestinal Endoscopic Management on Critically Ill Patients in Fayoum University Hospitals

Prospective study to evaluate the diagnostic and prognostic value of upper and lower gastrointestinal endoscopy in ICU

Inclusion Criteria: * Critically ill Patients with overt gastrointestinal bleeding * Critically ill Patients with suspected gastrointestinal bleeding manifestations as: * Acute and unexplained anemia * Sudden unexplained hemodynamic instability * Prolonged Ryle feeding (10 days) * Prolonged intubation (7 days) * Prolonged hospitalization with occult blood in stool * Prolonged administration of anticoagulants (2 weeks) * Prolonged PPI treatment and history of peptic ulcer * Critically ill Patients with other indications as: * Immunocompromised patients with oral candidiasis * Persistent unexplained vomiting * Dysphagia and odynophagia * Intractable or chronic gastro esophageal reflux disease * Chronic unexplained diarrhea * Unexplained Iron deficiency anemia in old age * Suspicion of malignant ulcer (peptic or colonic) * Cancer of unknown origin * Duodenal biopsy * Suspicion of colonic mass Exclusion Criteria: * Patient refusal * Noncompliance * Facial trauma * Patient age less than 18 years old