الفهرس 
Upper Gastroentestinal Bleeding
HemobiliaOnly 14 pages are availabe for public view
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Abstract
Background: Gastrointestinal bleeding is a common and potentially serious problem, which remain a major reason for hospital admission. Peptic Ulcers, chronic liver disease, portal hypertension and Haematemesis are major problems in Egypt due to schistosomiasis and viral hepatitis, excess NSAIDs & alcohol use. Subjects and Methods: This is a prospective cohort study of 50 patients presented to the Haematemesis unit of Ain Shams University Hospital, from January to June 2015. Results: from 50 cases that underwent upper endoscopic management; we noted that the percentage of the patients who presented with upper gastrointestinal bleeding in the old age group were more than those in the middle & young age group (58%), with males predominance (68.0%). The study has shown that the following prognostic factors were found to be the strongest predictors of the mortality; Increased age, presence of ascites (10%), Thrombocytopenia (30%), ↑ AST level (30.88 ± 35.43), Endoscopic administration of Somatostatin (4%) and Deterioration of shock stage. The commonest associated lesions occurring with gastric ulcer were congestive gastropathy, oesophago-gastric varices, and duodenal ulcer. Conclusion: Increased age, presence of ascites, Thrombocytopenia, ↑ AST level, Endoscopic administration of Somatostatin, Deterioration of shock stage & the need for blood transfusions were factors affecting outcome of patients with upper gastrointestinal bleeding in Egypt. The 6th decade was the most affected age group and males were more subjected than females to acute upper gastrointestinal bleeding. Peptic ulcer (non-variceal bleeding) was the main cause of acute upper gastrointestinal bleeding, followed by esophageal varices.