الفهرس 
Upper Gastrointestinal BleedingOnly 14 pages are availabe for public view
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Abstract
Background: Upper gastrointestinal bleeding (UGIB) is defined as hemorrhage that involves the mouth to the duodenum proximal to the ligament of Treitz. Upper gastrointestinal bleeding (UGIB) is a major public health problem, its prevalence being around 150 per 100,000 adults per year. Aim of the Work: The aim of this study is to compare two scores (Blatchford score and complete Rockall score) to identify the most accurate score used in predicting unfavorable outcomes during patient hospitalization (about 1 week after upper endoscopy) , the need for intervention, and the risk stratification in patients with confirmed UGIB. Patients and Methods: This descriptive exploratory study was conducted on 500 adult Egyptian patients presented by symptoms of acute upper GI bleeding (Hematemesis and melena) in emergency department of Ain Shams University Hospitals in the period from May 2015 to April 2017. Patients underwent upper endoscopy within first day from an attack of upper GI bleeding. All patients signed a written informed consent prior to enrollment into this study. This study was approved by the Ethical Committee of Ain Shams University College of medicine. Conclusion: Risk stratification and decision to perform interventions including therapeutic endoscopy is often a subjective matter, and the threshold to intervene might differ between different physicians. Recommendations: Blatchford score as a prognostic tool in emergency and gastroenterology departments, and have high sensitivity and specificity than RS for predicting outcomes.