الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Esophageal and gastric variceal bleeding is a sever complication of
patients with hepatic cirrhosis and portal hypertension. Gastric
fundal varices are less common than esophageal varices. However,
patients with bleeding from gastric fundal varices have a poor prognosis
and have more sever blood loss, a higher rebleeding rate and a higher
mortality rate. A total of 1000 cirrhotic patients whom presented with
upper gastrointestinal bleeding were included in the study, all patients
with gastric varices .
In this study :
114 GV cases were diagnosed giving an overall percentage of
11.04 % diagnosed from total of 1000 cirrhotic patients were presented
with upper gastrointestinal bleeding. As regard percentage of GV types,
there were 67 cases ( 58.8% ) with GOV1, 26 cases ( 22.8 % ) with
GOV2, 13 cases ( 11.4% ) with IGV1 , and 8 cases ( 7% ) with IGV2.
Significant difference was found between HCV infection alone, HBV
infection alone, both C and B viruses infection, and neither C or B
infection as regard of presence of GV.
As regard spleen size, all patients with GV show splenomegaly but
with different sizes , and there was no significant difference between
GOV, and IGV as regard spleen size.
As regard platelet count, all patients with GV show
thrombocytopenia, and there was no significant difference between GOV,
and IGV as regard platelet count. No significant difference between
GOV, and IGV as regard presence of PHG and Child-Pugh classification.