Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: experiencia en la hemorragia activa y en el tratamiento electivo / Endoscopic ligation plus sclerotherapy in the treatment of bleeding esophageal varices
Rev. méd. Chile
;
129(12): 1387-1394, dic. 2001. tab
Artigo
em Espanhol
| LILACS
| ID: lil-310214
RESUMO
Background:
Endoscopic ligation is the treatment of choice for bleeding esophageal varices. The usefulness of additional sclerotherapy is not clear.Aim:
To assess the effectiveness of ligation followed by sclerotherapy in the treatment of variceal bleeding. Patients andmethods:
Forty eight patients with variceal bleeding admitted for emergency treatment and 73 patients admitted for elective treatment were studied. Varices were ligated until a significant reduction in size was achieved. Eradication was completed with the injection of 1 per cent polidocanol.Results:
In 34 of 48 patients admitted for emergency treatment, the site of variceal rupture was identified. In all these subjects, and in 13 of 14 patients in whom the rupture site was not identified, hemorrhage was stopped with the procedure. Varices were eradicated in 108 of the 121 patients. Hemorrhage recidivated in 12.5 per cent of patients admitted for emergency treatment, in a period of 14 months of follow up and in 9.6 per cent of those admitted for elective treatment, in a period of 16 months follow up. Mortality was 14, 18 and 57 per cent among patients classified as Child Pugh A, B or C, respectively.Conclusions:
Endoscopic ligation is effective in the treatment of variceal bleeding. Adding sclerotherapy, variceal eradication is achieved in a high percentage of patients. Survival depends on hepatic function
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Varizes Esofágicas e Gástricas
/
Escleroterapia
/
Ligadura
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
País de afiliação:
México
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