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Upper digestive tract hemorrhage in portal cirrhosis of the liver

Upper digestive tract hemorrhage in portal cirrhosis of the liver

Rev Med Chile 94(1): 7-12

The diagnosis of portal cirrhosis of the liver was established in 344 out of 3137 autopsies (or 11%). Bleeding had complicated the course of the disease in 173 cases and led to death directly or indirectly by precipitating hepatic coma, in all but 7 of them. The precise origin of the hemorrhage was established in only a few instances. The hemorrhagic episode was single in 81% of the cases and death occurred in less than 10 days after its initiation in 74%. Only 9 out of each 100 cases were alive 6 mo. after bleeding. Signs of advanced hepatic insufficiency were concomitantly present in about 2/3rds of the individuals who suffered from hemorrhage. Bleeding had to do with portal hypertension only in just a few instances. Mean age of death among bleeding and non bleeding cirrhotics was equal and, at least under the conditions of this investigation, it appears as if upper GI [gastrointestinal] hemorrhage does not alter by itself the life expectancy of the cirrhotic populations.

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Accession: 026054535

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