Chung JM, Lee HS, Lim CJ, Kim KS, Choi BH, Choe HJ. Prognostic evaluation of endoscopic sclerotherapy on bleeding esophageal varices.
Korean J Intern Med 1986;
1:92-7. [PMID:
15759383 PMCID:
PMC4534896 DOI:
10.3904/kjim.1986.1.1.92]
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Abstract
From November 1981 to March 1984, 100 patients with esophageal varices bleeding were treated by endoscopic sclerotherapy.
The combined peri and intravasal method was applied, using Äthoxysclerol as a sclerosant.
The 79 cases were followed after sclerotherapy over a period ranging from 3 months to 26 months.
The amount of transfused blood on presclerotherapy was 4–5 pints and in 2/3 cases 1–2 pints were needed on postsclerotherapy.
Seven cases (8.1 per cent) had complications; 2 cases developed esophageal stenosis, 3 cases aspiration pneumonia, and 2 cases mediastinitis.
Fortunately, all 7 cases recovered. Rebleeding occurred in 15 cases (19.0 per cent); namely 3 cases (3.8 per cent) within 6 months, 5 cases (6.3 per cent) in the period from 6 months to 12 months and 7 cases (8.9 per cent) after 12 months.
During the follow up period, 14 cases died. Their causes of death were as follows: 6 cases died of hepatic failure, 5 cases died of hepatoma, and 3 cases expired from uncontrollable bleeding.
Based on data, it appears to be possible to control the bleeding in 97 per cent of the esophageal varices bleeding on their (first) bleeding.
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