Predictors of early re-bleeding and mortality in patients with first attack of gastric variceal hemorrhage

Background: Gastric varices (GV) bleed less frequently than esophageal however, gastric variceal bleeding is more severe with higher mortality and rebleeding rates. Treatment of (GVB) by tissue adhesive mainly cyanoacrylate glues has been used for obturation.  We aimed to determine predictors early in patients the first attack GVB. Materials methods: The study included 120 a GVB.The subjected thorough history, full examination, laboratory, radiological investigations. Child Turcott Pugh score (CTP), model end stage liver disease (MELD) were calculated. Upper gastrointestinal (GI) endoscopy obturation (GVO) done all patients. Follow up during hospitalization 6 weeks after discharge (within 14 days) weeks). Results: Among study, 24 (20%) presented 19 (15.83%) mortality. Multi-variable logestic regression analysis showed that, Score was an independent prognostic factor associated It found current smoking, increased bilirubin, INR, creatinine, decreased albumin, presence ascites, CTP MELD scores are significantly groups, while lower platelet count only. Moreover, hepatic encephalopathy, transaminases group. There no significant difference signs between groups except that increase one varix. Conclusion: