Published online Jul 27, 2014. doi: 10.4254/wjh.v6.i7.504
Revised: May 16, 2014
Accepted: June 10, 2014
Published online: July 27, 2014
Core tip: Hepatitis C was the most common cause in our cirrhotics and many hepatitis C virus patients were aged and demonstrated a long, mild course. Alcoholic and non alcoholic steatohepatitis cirrhosis is becoming a significant problem. Ascites was the commonest type of decompensation. Survival in compensated cirrhotics was at least double that of decompensated patients. Variceal bleeding was more frequent in alcoholics; nevertheless it was unexpectedly related to better survival than decompensation with ascites or encephalopathy. This was attributed to the improvements in the management of variceal bleeding together with the importance of abstinence from alcohol after the episode was successfully treated. Hepatocellular carcinoma patients with a history of hepatitis B virus had the highest risk of mortality.