Comparative retrospective study of bleeding esophageal varices management chronic injection sclerotherapy versus splenectomy and devascularization

ABSTRACT

This study was conducted to evaluate and compare between chronic Injection sclerotherapy in 63 patients and splenectomy and devascularization in 37 patients in the management of bleeding esophageal varices in Egyptian patients suffering from schistosomiasis hepatosplenic fibrosis. It was found that the most common grade that causes bleeding varices was grade III. The study reported complete disappearance and obliteration of varices in 63 patients via 180 sessions of injection sclerotherapy. A rate of 6.3% of rebleeding attacks in those patients was also reported. While, a rebleeding rate of 10.8% in the second group of splenectomy and devascularization was reported. The study also reported two deaths in the sclerotherapy group from 63 patients and no deaths in the second operative group [37 patients]; so, the total mortality rate was 2% only from 100 patients