Prognostic indicators in cirrhotic patients with bleeding oesophageal varices

ABSTRACT

The aim of this study was to identify the risk factors that affect the prognosis in patients with liver cirrhosis presented with acute variceal bleeding through clinical and laboratory assessment. It included 200 cirrhotic patients presented with bleeding esophageal varices with a mean age of 48.9 +/- 11.4 years. They were enrolled in prospective study and followed up for six weeks after bleeding attack. The patients were assessed using clinical, ultrasonographic, endoscopic and laboratory examinations. It was concluded that the main factors that can independently affect the prognosis of cirrhotic patients with bleeding esophageal varices are ascites, hepatocellular carcinoma on top of liver cirrhosis and prothrombin time. Furthermore, Child Pugh grade is an important prognostic factor