الفهرس 
Portal HypertensionOnly 14 pages are availabe for public view
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Abstract
Gastroesophgeal variceal hemorrhage (GOV) is a major complication of portal hypertension resulting from liver cirrhosis. It occurs in 30% of patients with cirrhosis and accounts for 80-90% of bleeding episodes in these patients. GOV hemorrhage is associated with high rate of morbidity and mortality.
The aim of this work was to evaluate the value of MELD score as a predictor of early variceal rebleeding of cirrhotic patients after endoscopic management.
The current study was conducted on one hundred cases with liver cirrohsis presented with acute variceal bleeding. The history, clinical examination, laboratory investigations and ultrasound examination was done for all cases. First aid management and the endoscopic management was done. All patient were followed up for one week. Early re-bleeding was considered as end point for follow up.
Our patients were classified into 2 groups:
Group I: 78 Patients without rebleeding during the period of the follow up.
Group II: 22 Patients with rebleeding during the period of the follow up.
This study revealed that baseline MELD score was significantly higher among patients with rebleeding compared to those without rebleeding.
The present study showed that patients with MELD score ≥21 had a high incidence of early rebleeding
Recommendation: MELD score could be used as predictor of early variceal bleeding in cirrhotic patients after endoscopic manegment, and aggressive follow-up in the immediate postvariceal bleed setting.