Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
Non-variceal Causes and Outcome of Acute Upper Gastro-intestinal Bleeding among Cirrhotic Patients in Tropical Medicine Intensive Care Unit
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Amal AbdelFattah Gouda Msthry
Staff Zu Site
Abstract In Staff Site
Journal:
afroegyptian journal of endemic and infectious diseases Zagazig university
Volume:
Keywords :
Non-variceal Causes , Outcome , Acute Upper Gastro-intestinal
Abstract:
variceal bleeding is less common than variceal bleeding among cirrhotic patients; hence there are fewer studies that pay attention to its causes and outcomes. The aim of this study is to shed light on the causes of acute non-variceal bleeding in cirrhotic patients and the outcome of acute upper gastrointestinal bleeding in those patients. Patients and Methods: this cross sectional study included 179 patients, they were allocated into two groups according to the source of bleeding; group I: included 104 patients with variceal bleeding and group II: included 75 patients with non-variceal bleeding. Results: The frequency of non-variceal bleeding was 41.9%. The mean period of intensive care unit stay was 5.03 ± 2.65 days ranging between 1and 17 days. The overall rate of early rebleeding was 3.7% and the mortality rate in intensive care unit was 4.5%. The most common cause of non variceal bleeding is ulceration (24%), followed by portal hypertensive gastropathy (17.3%), and in 24% of cases the cause of bleeding was obscure. Mortality is significantly correlated to white blood cells count (r=0.2 p=0.002), Child’s grade and score (r=0.217 p=0.003 and r= 0.16 p=0.03 successively) as well as Glasgow-Blachford score (r=0.18 p=0.01). Conclusion: The frequency of non-variceal bleeding among cirrhotic patients admitted with acute upper gastrointestinal bleeding bleeding is 41.9%. The mortality rate in those patients is 4.5%. The degree of deterioration of liver functions and the severity of initial bleeding episode were the most important predictors of mortality.
Author Related Publications
Amal AbdelFattah Gouda Msthry, "value of diffusion weigted MRI in evaluation of solid hepatic focal lesions in patients with renal insufficiency", sciverse sciencedirect, 2016
More
Amal AbdelFattah Gouda Msthry, "Serum Neoptrin Level as a Marker for Activity in Chronic Hepatitis B Virus Infection", كلية الطب جامعة القاهرة, 2016
More
Amal AbdelFattah Gouda Msthry, "Risk of Hepatic Encephalopathy in Diabetic Decompensated Liver Diseased Patients with Post- HCV Liver cirrhosis", كلية الطب جامعة الزقازيق, 2015
More
Amal AbdelFattah Gouda Msthry, "Different Factors Correlated to Early Rebleeding in Cirrhotic Patients Treated By Variceal Band ligation Versus Endoscopic Sclerotherapy.", كلية الطب جامعة الزقازيق, 2016
More
Amal AbdelFattah Gouda Msthry, "Efficacy and adverse effects of sofosbuvir- based therapies (double and triple regimens) in chronic HCV patients", كلية الطب جامعة الزقازيق, 2017
More
Department Related Publications
Walid Ahmadi Abduldaim, "Can Combinations of Non-Invasive Parameters Replace Liver Biopsy in the Diagnosis of Hepatic Fibrosis in Egyptian Patients with Chronic Hepatitis C هل يستطيع مزيج من الطرق التشخيصية غير التداخلية أن تحل محل العينة الكبدية في تشخيص التليف ا", Science Domain International, 2013
More
Noha Elsyd AbdulSattar, "Can Combinations of Non-Invasive Parameters Replace Liver Biopsy in the Diagnosis of Hepatic Fibrosis in Egyptian Patients with Chronic Hepatitis C هل يستطيع مزيج من الطرق التشخيصية غيرالتداخلية ان تحل محل العينة الكبدية فى تشخيص التليف ال", British Microbiology Research Journal, 2013
More
Noha Elsyd AbdulSattar, "Serum Fetuin-A Evaluation in Chronic Hepatitis C Virus Patients with Concomitant Type 2 Diabetes Mellitus تقييم فيتوين-أ في المصل في مرضى الالتهاب الكبدي الفيروسي المزمن "سي" المصاحب بداء السكري من النوع (2)", Afro-Egyptian Journal of Infectious and Endemic Diseases, 2017
More
Ahmed Sakr Sherbini Mouhamed, "Upper Gastrointestinal Bleeding Associated with Myocardial Injury in Egyptian Patients: Frequency and Risk Factors", ACT publishing group L td. hong kong, 2013
More
Mohamed Ibrahim Magdy, "Needle-Knife Fistulotomy as a Rescue Access of the Common Bile Duct in Cirrhotic Patients: Feasibility and Outcome", www.mis.zu.edu.eg/ajied/home.aspx, 2013
More
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف