| Autor: |
Gómez Senent S; Servicio de Aparato Digestivo, Hospital Universitario La Paz, Madrid, Spain. silviagsenent@yahoo.es, Martín Arranz MD, Froilán Torres C, Manceñido Marcos N, Martín Chavarri S, Carrión Alonso G, Suárez de Parga J, Segura Cabral JM |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2006 Jun-Jul; Vol. 29 (6), pp. 323-6. |
| DOI: |
10.1157/13089712 |
| Abstrakt: |
The aim of the present study was to determine the usefulness of elastic band ligation in the prevention of hemorrhage recurrence due to esophageal-gastric varices. Sixty-five patients who survived an episode of variceal hemorrhage were included in the study. Twenty-nine patients (45%) were Child-Pugh class A, 25 (38%) were class B, and 11 (17%) were class C. The cause of cirrhosis was hepatitis C virus and alcohol in 45% and 31% of the patients, respectively. The first ligation session was performed between the third and fifth day after the hemorrhagic episode and subsequent sessions were carried out at intervals of 3-4 weeks. The ligation sessions were performed with antibiotic prophylaxis. A mean of 2.7 bands were placed per session (range 1-5), and the mean number of sessions required per patient to achieve variceal eradication was 2.5 (range 1-6). The rate of bleeding recurrence was 24.6% (16 episodes). In conclusion, endoscopic elastic band ligation is a useful technique for the eradication of esophageal varices and for the prevention of bleeding recurrence. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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