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P. R. health sci. j ; 15(3): 195-9, Sept. 1996.
Artigo em Inglês | LILACS | ID: lil-228512

RESUMO

OBJECTIVES: To compare endoscopic sclerotherapy, propranolol and distal splenorenal shunt in the prevention of rebleeding esophageal varices and mortality in alcoholic cirrhotics. METHODS: Forty-three alcoholic cirrhotics that had bled from esophageal varices were randomized to sclerotherapy (13), shunt (15) or propranolol(15). Outcomes measured were rebleeding from varices and death. RESULTS: There was no significant difference between the three treatment groups in relation to rebleeding rate or death. Continued alcohol consumption did not influence outcome. CONCLUSIONS: All three therapies were equally effective in preventing rebleeding from varices


Assuntos
Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Anti-Hipertensivos/uso terapêutico , Varizes Esofágicas e Gástricas/terapia , Hemorragia Gastrointestinal/terapia , Cirrose Hepática Alcoólica/complicações , Propranolol/uso terapêutico , Escleroterapia , Derivação Esplenorrenal Cirúrgica , Varizes Esofágicas e Gástricas/etiologia , Varizes Esofágicas e Gástricas/mortalidade , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/mortalidade , Recidiva , Análise de Sobrevida
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