الفهرس 
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Abstract
Acute upper gastrointestinal hemorrhage (AUGIH) is a major public health problem which is a common emergency.
The aim of the present study was to evaluate the causes and outcome of upper gastrointestinal tract bleeding among the patients presenting by hematemesis and/ or melena. To fulfill this aim, one hundred patients presenting by hematemesis and/ or melena admitted in Emergency Endoscopy Unit of Al-Fayoum General Hospital were studied.
All patients were subjected to the following:
Full history taking, clinical examination, Laboratory Investigation: Complete blood picture, Prothrombin time, INR, Platelet count and Liver function tests including (AST, ALT, Serum albumin, Serum bilirubin (total) and Instrumental investigation as abdominal ultrasound examination and endoscopy examination.
The present study revealed that:
Esophageal varices, gastric ulcers and duodenal ulcers were significantly higher in endoscopic finding than other causes of bleeding.
According to relation of patient’s habit history in patients with (Gastric ulcers, duodenal ulcers and gastritis) were statistically significant.
According to patient’s symptomatic presentation of bleeding episode in patients with (Esophageal varices, gastric ulcers, duodenal ulcers and gastritis) were statistically significant.
Patients with gastritis have drugs history of (Vit. K, PPI, calcium, anticoagulants and diuretics) were statically significant.
Succeeded outcome patients groups according to pre endoscopic medical treatment were significantly higher than failed outcome patients groups.
Succeeded outcome patients presented with hematemesis were significantly higher than presented with combined hematemesis and melena.
Gastric ulcers patients in succeeded outcome group were significantly higher than Gastric ulcers patients in failed outcome group.