The Predictors Of Re-Bleeding In Chronic Liver Disease Patients After Endoscopic Variceal Band Ligation

Area of Science:

• Gastroenterology
• Hepatology
• Internal Medicine

Background:

• Variceal bleeding is a fatal complication in chronic liver disease with portal hypertension, significantly impacting morbidity and mortality.
• Identifying predictors of rebleeding is crucial for improving patient outcomes and disease management.

Purpose of the Study:

• To explore predictors of rebleeding in chronic liver disease patients after endoscopic variceal ligation (EVBL).
• To identify key factors influencing rebleeding risk to guide clinical interventions.

Main Methods:

• A study involving 50 patients with chronic liver disease and a history of varices who experienced rebleeding post-EVBL.
• Assessment included patient history, clinical examination, coagulation profile, platelet count, ultrasound (splenic size, portal pressure), and upper GI endoscopy (variceal grade, site, red sign).
• Data analysis utilized SPSS version 20.

Main Results:

• Rebleeding was significantly associated with variceal grade, presence of red sign, variceal site, splenic size, and coagulopathy.
• Male patients constituted 64% of the study group, with a mean age of 51.34±6.34 years.

Conclusions:

• Variceal grade, extent, and site, along with the red sign on endoscopy, splenic size, and coagulation disturbances, are significant predictors of rebleeding post-EVBL.
• These findings emphasize the importance of endoscopic and clinical parameters in assessing rebleeding risk in chronic liver disease patients.