geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Upper gastrointestinal bleeding in patients with liver cirrhosis


, : Upper gastrointestinal bleeding in patients with liver cirrhosis. Journal of the National Medical Association 94(8): 712-715

Patients with liver cirrhosis may develop upper gastrointestinal hemorrhage from a variety of lesions, which include those that arise by virtue of portal hypertension, namely gastroesophageal varices and portal hypertensive gastropathy and other lesions seen in the general population. Do patients with liver cirrhosis, hemorrhage from varices and other lesions equally, or are they more likely to bleed from varices? The aim of this study is to determine predominant causes of bleeding in patients with liver cirrhosis and upper gastrointestinal bleeding. A retrospective review of 40 patients with liver cirrhosis based on the clinical and biochemical parameters of the Child-Pugh score, and upper gastrointestinal bleeding was carried out at an inner city hospital. Endoscopy diagnoses were documented. Of 40 patients, 38 patients had cirrhosis associated with alcohol consumption. Twelve of the above 38 patients who consumed alcohol also had hepatitis C virus (HCV) infection. Eleven patients had only varices on endoscopic examination, 17 had varices plus coexisting lesions. From these 17 patients, nine were found to have bled from varices, and eight were found to have bled from coexisting lesions. Twelve patients who had no varices bled from other lesions. Of 40 patients, 28 had varices, and 20 actually bled from varices. In this study there was no correlation between severity of liver cirrhosis as determined by the Child-Pugh score and the absence or presence of varices. Patients with liver cirrhosis and upper gastrointestinal bleeding hemorrhage from a variety of lesions. In this study of 40 patients, (70%) had gastroesophageal varices diagnosed at upper endoscopy, while 50% actually bled from varices.

US$29.90

PMID: 12152928


Other references

Brady, P., 2016: Editorial Commentary: The Larger Holes or Larger Number of Holes We Drill in the Coracoid, the Weaker the Coracoid Becomes. The larger holes or larger number of holes we drill in the coracoid, the weaker the coracoid becomes. Thus, minimizing bone holes (both size and number) is required to lower risk of coracoid process fracture, in patients in whom transosseous shoul...

Leventhal B.G., 1980: Lymphatic leukemia spectrum of outcome. Van Eys, J. P. Sullivan (ed.). Status Of The Curability Of Childhood Cancers; M. D. Anderson Hospital And Tumor Institute 24th Annual Clinical Conference On Cancer, Houston, Tex., Usa, Nov. 8-9, . Xix 329p. Raven Press: New York, N.y., Usa. Illus. P213-224

Fratiello, A.; Stover, C.S., 1975: A direct, low-temperature 1-H, 13-C, and 19-F nuclear magnetic resonance study of boron trifluoride complexes with stigmasterol, androstanolone, androsterone, testosterone, nortestosterone, androstenedione, and progesterone-1,2. Journal of Organic Chemistry 40(9): 1244-1248

Lukman Alhaji Rilwanu, 1976: The role of solid minerals in the design and execution of economic development strategy. Journal of Mining and Geology 13(2): 73-75

Liu, H.; Hays, R.D.; Adams, J.L.; Chen, W-Pin.; Tisnado, D.; Mangione, C.M.; Damberg, C.L.; Kahn, K.L., 2005: Imputation of SF-12 health scores for respondents with partially missing data. To create an efficient imputation algorithm for imputing the SF-12 physical component summary (PCS) and mental component summary (MCS) scores when patients have one to eleven SF-12 items missing. Primary data collection was performed between 1996...

Anonymous, 2011: Dissecting local circuitsin vivo integrated optogenetic and electrophysiology approaches for exploring inhibitory regulation of cortical activity. Local cortical circuit activityin vivocomprises a complex and flexible series of interactions between excitatory and inhibitory neurons. Our understanding of the functional interactions between these different neural populations has been limited b...

Korhonen, H.; Rintamaki, O.; Antila, M., 1978: The effect of diet on the lactoperoxidase and thiocyanate content of milk. Supplements of a polyalcohol mixture containing 26.5% xylitol, at about 1 g/kg body wt. daily for 12 wk, significantly increased the lactoperoxidase (LP) activity of milk and decreased the SCN- content and cell count. Udder health was better in th...

Rastopchin I.P., 1984: The effect of calcium pangamate on the cholesterol index of atherogenicity in cerebral atherosclerosis patients. Zhurnal Nevropatologii i Psikhiatrii Imeni S S Korsakova 84(7): 1020-1023

Stutman, C.M.; Cagovec, R.V.; Suharevskaja, A.M.; Kasleva, T.I., 1968: Effect of Se on methionine metabolism in rats. Rats weighing 100 to 120 g were given by subcutaneous injection 30, 75 or 300 micro g Se per 100 g bodyweight as Na2SO3 2 h before they were killed. Methionine-35S 0.25 micro Ci per g was similarly injected at times from 30 min to 5 h before they...

Babu, A.Sinha.; Roy, J.; Das, D.; Banerjee, D., 2014: Is surgical intervention for ectopic pregnancy in a low resource set-up avoidable?. Ectopic pregnancy is one of the most common life threatening complications in the first trimester of pregnancy having significant adverse effects on future pregnancy outcome, particularly if salpingectomy is used as the modality of treatment. So m...