Background: Upper gastrointestinal bleeding (UGIB) is one of the most of common medicalrnemergencies patients visit to Emergency department having significant morbidity and mortality.rnThe causes and outcomes of UGIB differ geographically depending on demographic differencesrnand socioeconomic status of local population. rnObjectives: To assess the etiology, clinical profile and management outcome of patients admittedrnwith UGIB at TASH. rnMethods and Materials: A Single centered retrospective study was conducted to determine thernetiology, clinical profile and management outcomes of patients seen with UGIB at TASH over arnperiod of one year (from December 2018 to December 2019). Data was collected analyzed usingrnthe latest SPSS version 26. Associations was done by chi-square test for categorical tests andrnconsidered to be statistically significant when the P value is below 0.05. rnResult: A total of 101 patients were enrolled in this study, 52.4% of patients were from outpatientrnand the rest were admitted patients. Majority of Patients (47.5%) were from Addis Ababa. Mostrnpatients had age less than 40 and the male to female ratio was 2.6:1.The most common clinicalrnpresentation was hematemesis seen in 42(41.6%) of patients. Risk factors identified were historyrnof alcohol intake in 60 (59.4%), prior liver disease in 24 (23.4%), Smoking history in 10 (9.9%)rnpatients respectively. The most common comorbidities were HTN and DM each accounts for 10%rnof patients. The most endoscopic finding was Esophageal varices seen in 34(33.7%) of patientsrnfollowed by DU which is seen in 20 (19.8%) of patients.70 were managed only medically whilern31 patients managed endoscopically. Timing of endoscopy was assessed for admitted patients andrn30 (62.5%) of patients got endoscopy done after 24 hours. The most common endoscopicrnprocedure was EVL which is done for 26 (25.7%) of patients. Patients who stayed in the wards forrnless than 7 days had 91% less risk of developing in hospital complications. rnConclusion: In this study, most of patient has age less than 40 years, males are predominant andrnesophageal varices are the most common etiology identified.