Endoscopic sclerotherapy of bleeding oesophageal varices in Jamaica.

Autor: Lee MG, Terry SI, Raju K, Donaldson EK
Jazyk: angličtina
Zdroj: The West Indian medical journal [West Indian Med J] 1989 Jun; Vol. 38 (2), pp. 75-9.
Abstrakt: The results of oesophageal sclerotherapy (OS) in 18 patients with recurrent bleeding varices are compared with 15 patients treated medically. The total transfusion requirement pre-sclerotherapy was 112 units of blood (mean 6/patient) which decreased to 46 units (mean 2.5) after sclerotherapy treatment was started (p = 0.005). In the medically treated group, total transfusion was 74 units (mean 5 units/patient). One hundred and forty-three injection sclerotherapy sessions were given, and all but one patient had significant reduction or eradication of varices. Three patients died of recurrent bleeding (17%) and one other required surgery. In the medically treated group, 3 patients died of bleeding (20%). Complications of sclerotherapy included mild bleeding (39%), chest pain (28%) and oesophageal ulcer (5.5%). OS reduces transfusion requirements in patients with recurrent variceal bleeding.
Databáze: MEDLINE