Diagnóstico y tratamiento de las várices esófago gástricas en Chile: realidad nacional / Management of bleeding esophageal varices in public and private institutions in Chile
Rev. méd. Chile
;
136(7): 837-843, jul. 2008. tab
Article
in Spanish
| LILACS
| ID: lil-496003
ABSTRACT
Background:
The better treatment modalities for bleeding esophageal varices have improved the prognosis of cirrhosis.Aim:
To inquire about diagnostic and treatment modalities for esophageal bleeding in Chile. Material andmethods:
An enquiry about diagnosis and treatment of esophageal bleeding was designed and electronically sent to public and private health institutions that could admit patients and were located in cides with more than 100,000 inhabitants.Results:
The enquiry was answered by 31 of 35 public and 17 of 19 private health institutionis that were consulted. Emergency endoscopy was available in 6 of 27 public and in the 16 private institutionis that had an emergency room. Rubber band ligation was available in 16 public (52 percent) and in all private institutions. Cyanoacrylate injections were done in 10 public (32 percent) and 11 (65 percent) private institutions. No public institution installed transjugular intrahepatic portosystemic shunts, but 8 had occasional access to this technique. This procedure was done in 7 (41 percent) private institutions and all had access to it. Surgical treatment was feasible in 20 public (65 percent) and all private institutions. Primary prophylaxis was done in 18 public (58 percent) and 14 private (82 percent) institutions. Secondary prophylaxis was carried out in 26 public (84 percent) and 16 private (94 percent) institutions.Conclusions:
Public health institutions have poor access to adequate diagnostic and treatment methods for esophageal bleeding. The primary and secondary prophylaxis of esophageal varices must be improved in both types of institutions.
Full text:
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Index:
LILACS (Americas)
Main subject:
Esophageal and Gastric Varices
/
Hospitals, Private
/
Health Services
/
Hospitals, Public
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2008
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Naval de Viña del Mar/CL
/
Hospital San José/CL
/
Universidad de Chile/CL
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