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Article Dans Anglais | IMSEAR | ID: sea-65298

Résumé

Forty four patients with portal hypertension of varying etiology, including 25 patients with an acute episode of variceal bleeding and 19 with past history of hematemesis, were followed up for eighteen months following endoscopic variceal sclerotherapy (EVS). Of 11 patients in Child's A group, two died of acute bleed, three were subjected to shunt surgery and the remaining six survived the follow-up period. Ten of 11 cases in Child's C did not survive more than six months in spite of sclerotherapy. We conclude that rebleed and death due to rebleed following EVS occur more commonly in patients with poor hepatic reserve (Child's C) as compared to patients in Child's A and B.


Sujets)
Enfant , Enfant d'âge préscolaire , Endoscopie , Varices oesophagiennes et gastriques/thérapie , Hémorragie gastro-intestinale/thérapie , Humains , Hypertension portale/thérapie , Inde , Cirrhose du foie/mortalité , Études prospectives , Sclérothérapie , Survie
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