الفهرس | Only 14 pages are availabe for public view |
Abstract Variceal bleeding is a frequent and severe complication in patients with portal hypertension. Mortality associated with each bleeding episode ranges from 30% to 50% (D’ Amico et aI., 1995). In spite of advances in techniques for management of variceal bleeding, mortality is still closely related to failure to control haemorrhage or early rebleeding which is a distinct characteristic of portal hypertensive bleeding (de Dombal et aI., 1986). Factors that influence rebleeding and mortal ity in patients with portal hypertension has been little studied (Ben-Art et aI., 1996 and Goulis et aI., 1998). The aim of this prospective study was to identify and evaluate prognostic factors of early rebleeding and mortality (within 7 days from index endoscopy) after endoscopic therapy for bleeding oesophageal varices. After admission, al1 patients were subjected to through history taking, ful1 clinical examination and the following investigations: complete blood picture, urine analysis, serum albumin, total bilirubin, ALT, AST, prothrombin time, serum creatinine, HBsAg, anti-Hr.V, abdominal ultrasound, and chest x-ray when indicated. |