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العنوان
Prognostic factors of early rebleeding and mortality after endoscopic therapy for bleeding oesophageal varices :
الناشر
Ehab El-Sayed Abd El-Samei,
المؤلف
Ehab El-Sayed Abd El-Samei
هيئة الاعداد
باحث / Ehab El-Sayed Abd El-Samei
مشرف / Gamal El-Sayed Shiha
مشرف / Hasan El-Askalany
مناقش / Ashraf Mohamed Sewelam
الموضوع
bleeding oesophageal varices. Prevention of bleeding-- Pharmacological Effect.
تاريخ النشر
2001.
عدد الصفحات
125 p. ;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
1/1/2001
مكان الإجازة
جامعة المنصورة - كلية الطب - DEPARTMENT OF GENERAL MEDICINE
الفهرس
Only 14 pages are availabe for public view

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Abstract

Variceal bleeding is a frequent and severe complication in patients with portal hypertension. Mortality associated with each bleeding episode ranges from 30% to 50% (D’ Amico et aI., 1995). In spite of advances in techniques for management of variceal bleeding, mortality is still closely related to failure to control haemorrhage or early rebleeding which is a distinct characteristic of portal hypertensive bleeding (de Dombal et aI., 1986). Factors that influence rebleeding and mortal ity in patients with portal hypertension has been little studied (Ben-Art et aI., 1996 and Goulis et aI., 1998). The aim of this prospective study was to identify and evaluate prognostic factors of early rebleeding and mortality (within 7 days from index endoscopy) after endoscopic therapy for bleeding oesophageal varices. After admission, al1 patients were subjected to through history taking, ful1 clinical examination and the following investigations: complete blood picture, urine analysis, serum albumin, total bilirubin, ALT, AST, prothrombin time, serum creatinine, HBsAg, anti-Hr.V, abdominal ultrasound, and chest x-ray when indicated.