FREQUENCY OF DIFFERENT COMPLICATIONS AND OUTCOME IN PATIENTS WITH CIRRHOSIS LIVER

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Abstract

ABSTRACT
Objective: The objective of this study was to find out the frequency of different complications of cirrhosis liver in already
diagnosed patients with cirrhosis liver and those diagnosed during their admission in hospital and find their effect on
the outcome.
Methodology: A prospective study of ninety five patients already diagnosed as cirrhosis liver or diagnosed as such
during current admission was performed in the Medical B Unit of the Department of Medicine Khyber Teaching Hospital,
Peshawar from January to December, 2009. Both male and female patients above 15 years of age were included
in this study.
Results: Of the ninety five patients meeting the inclusion criteria 49 were male patients and 46 were female patients.
The commonest affected age group was 40-60 years.
The commonest complication in these patients was ascites present in 67.3% (64 patients) cases followed by hepatic
encephalopathy, spontaneous bacterial peritonitis and variceal hemorrhage present in 65.26% (62 patients), 18.9 %(18
patients) and 13.7%(13 patients) cases respectively.
5.36% patients were in Child Trucut Pugh (CTP) class A, 32.6% were in class B and 62.1% were in class C. Among
them 24.21% had grade 0 hepatic encephalopathy, 12.6% had grade I, 22.1% had grade II, 29.50% had grade III and
11.57% had grade IV hepatic encephalopathy on clinical examination. 12.6% died in hospital, of them 83.33% were in
CTP class C and 16.66 % were in class B while none of the patients in class A died.
Conclusion: The most common complication in patients admitted with cirrhosis liver was ascites followed by hepatic

Authors: 
Fahim Ullah
Said Amin
Ayesha Khan Afridi
Muhammad Ashfaq
Fawad Rahim

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