Esophageal endoscopic sclerotherapy in children using 3% aqueous phenol.
Artigo
em Inglês
| IMSEAR
| ID: sea-65774
ABSTRACT
OBJECTIVE:
To study the efficacy of endoscopic variceal sclerotherapy (EST) in controlling acute variceal bleeding and preventing recurrence of bleeding from esophageal varices in children.METHODS:
Ninety children (mean age 7.3 +/- 3.0 years) with portal hypertension [extra-hepatic portal venous obstruction (EHPVO) 83, cirrhosis 7] presenting with hematemesis and/or melena were subjected to EST using 3% phenol in water as sclerosant.RESULTS:
Active variceal bleeding could be controlled in 31 of 34 (91%) cases. Varices could be obliterated in 87% of patients with a mean of 5.4 +/- 2.5 injection sessions. Pre-obliteration variceal rebleeding was observed in 15% of patients. Complications such as esophageal ulceration, stricture and perforation were observed in 32%, 4.5% and 1% of patients respectively. Strictures responded to dilatation whereas perforation responded to conservative treatment. Recurrence of varices was seen in 22% of patients at a mean interval of 5.8 +/- 1.9 months. The mortality in the emergency group was 9.5% and nil in the elective group. Ten percent of patients required surgical intervention.CONCLUSION:
EST with 3% phenol in water is effective in controlling active bleeding as well as preventing recurrent bleeding from esophageal varices in children.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Fenóis
/
Recidiva
/
Soluções Esclerosantes
/
Feminino
/
Humanos
/
Masculino
/
Varizes Esofágicas e Gástricas
/
Escleroterapia
/
Criança
/
Pré-Escolar
Idioma:
Inglês
Ano de publicação:
1994
Tipo de documento:
Artigo
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