Wrapper tube assisted emergency endoscopy for gastro-esophageal variceal hemorrhage / 中华消化内镜杂志

ABSTRACT

Objective To evaluate the wrapper tube in emergency endoscopy for gastro-esophageal variceal hemorrhage. Methods A total of 62 patients diagnosed as having gastro-esophageal variceal bleeding were enrolled as the treatment group to accept wrapper tube assisted emergency endoscopic sclerotherapy. The therapeutic effect was compared with another group of 62 patients who also had gastro-esophageal variceal hemorrhage while treated by conventional emergency endoscopic sclerotherapy (control group). Results The rate of hemostasis with wrapper tube was 100%, which was significantly higher than that of the control group (80. 65%, P ＜0. 05). The rate of gastro-esophageal varices remission after sclerotherapy in treatment group was 59.32%, which was also significantly higher than that of the control group (7. 25%, P ＜ 0. 05 ). The rates of chest pain, esophageal ulcer, length of hospitalization, and total medical cost in treatment group were significantly lower than those of control group ( P ＜ 0. 05 ). Conclusion Wrapper tube in emergency endoscopy for gastro-esophageal varices bleeding can improve therapeutic effect and relieve patients' economic burden.