Imdad Ali Ansari, Bashir Ahmed Shaikh, Aftab Hussain Shah, Tanveer Ahmed Ansari, Jawed Akhtar Samo, Ghulam Yasin Abro
Objective: To examine the clinical outcomes of cirrhotic patients presented with variceal and non-variceal gastrointestinal bleeding. Study Design: Retrospective/observational Place and Duration of Study: Department of Medicine, Chandka Medical College Hospital, Larkana from 1st January 2019 to 31st December 2019. Materials and Methods: One hundred cirrhotic patients of both genders with ages >20 years presented with upper gastrointestinal bleeding were enrolled. Fifty cases with acute variceal bleeding and 50 cases with non-variceal bleeding were examined. Clinical outcomes such as mortality, length of hospital stay, Intensive care admission and 60 day readmission were examined and compare the findings between both groups. Results: There were 68 (68%) male patients and 32 (32%) female patients. Mean age of patients in variceal group was 54.25±8.55 years and in non-variceal group mean age was 59.52±10.25 years (p=0.004). Oesophageal varices was the most common etiology in acute variceal bleeding group 34 (68%) and in non-variceal bleeding that was 32% (p=0.005). There was no significant difference found in term of mortality between both groups 16% vs 12% in variceal and non-variceal. No significant difference was found in length of hospital stay 4.5±1.5 vs 5.7±2.8 days. Readmission was significantly high in patients with non-variceal bleeding 28% than variceal bleeding 16%. Conclusion: There were no significant difference found regarding mortality, length of hospital stay between acute variceal bleeding patients and non-variceal bleeding patients. However, we found significant difference in term of readmission between both groups. Key words: Cirrhosis, Upper gastrointestinal bleeding, Variceal, Non-variceal, Outcomes, Mortality