| Abstract: |
Esophageal and gastric variceal bleeding is a sever complication ofpatients with hepatic cirrhosis and portal hypertension. Gastricfundal varices are less common than esophageal varices. However,patients with bleeding from gastric fundal varices have a poor prognosisand have more sever blood loss, a higher rebleeding rate and a highermortality rate. A total of 1000 cirrhotic patients whom presented withupper gastrointestinal bleeding were included in the study, all patientswith gastric varices .In this study :114 GV cases were diagnosed giving an overall percentage of11.04 % diagnosed from total of 1000 cirrhotic patients were presentedwith upper gastrointestinal bleeding. As regard percentage of GV types,there were 67 cases ( 58.8% ) with GOV1, 26 cases ( 22.8 % ) withGOV2, 13 cases ( 11.4% ) with IGV1 , and 8 cases ( 7% ) with IGV2.Significant difference was found between HCV infection alone, HBVinfection alone, both C and B viruses infection, and neither C or Binfection as regard of presence of GV.As regard spleen size, all patients with GV show splenomegaly butwith different sizes , and there was no significant difference betweenGOV, and IGV as regard spleen size.As regard platelet count, all patients with GV showthrombocytopenia, and there was no significant difference between GOV,and IGV as regard platelet count. No significant difference betweenGOV, and IGV as regard presence of PHG and Child-Pugh classification.
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