الفهرس 
Venous anatomy of the lower oesophagus in portal hypertenisonOnly 14 pages are availabe for public view
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Abstract
studied 40 cases with recurrant gastrointestinal
bleeding due to oesoPhageal varices in bilharzial
hepatic fibrosis. Our cases were selected from
Banha University HoSpital.
We divided the cases into two groups;
1) 20 patients with bilharzial hepatic fibrosis
without sClerotherapy (19 male ~nd one female)
Their age ranged from 22-65 years with the
mean of 39.5 •
2) 20 patients with bilharzial hepatic fibrosis
after sClerotherapy (all of them ’-”eremales)
Their age ranged from 28 - 64 with the mean
of 46.5.
o
All patients examined Clinically and endoscoPically,
bioPsies were taken from their stomach.
from history and clinical examination, all patients
were preSenting by uPPer gastro-intestinal symptoms.
Our case were SUbjected to through history taking
and medical examinationRoutin laboratory investigations were per~<Jrmed
to overy case and liver biopsy were done.
Haemoglobin percent was increased in all patients,
after sclerotherapy mean value was 67.85 % in
group one and 75.6 % in group two.
RBC’S count was increased also in all patients,
after’sclerotherapy. mean value was 3.792.500/Cu
ml in group one and 4.537.500 in group two.
• Endoscopic examination reveiled oesophageal varices
o
of different degree in group one but in group two
•
we reveiled oesophageal varices of different degrAe,
one case of diverticulum of the lower oesophagus,
one case showed active bleeding and one case showed
hyperaemis mucosa.
in 35 % of cases 65 % were free and in group two.
there were in group one gastric varices in 5 % of
cases congested gastric mucosa in 20% of cases and
80 % of cases were free