Endoscopic variceal ligation is a sufficient procedure for the treatment of oesophageal varices in patients with hepatitis C liver cirrhosis: Comparison with injection sclerotherapy

Autor: Shinichi Ota, Yasuo Hata, Takuma Teratani, Tateo Kawase, Takao Kawabe, Yukihiro Koike, Masao Omata, Yasushi Shiratori, Eiji Hamada, Shuntaro Obi, Keiji Ogura, Shuichiro Shiina, Shin Maeda, Torao Tanaka, Tsuyoshi Okudaira, Morio Takahashi, Makoto Okamoto, Masuyo Nomura, Shinpei Sato
Rok vydání: 2002
Předmět:
Zdroj: Journal of Gastroenterology and Hepatology. 14:236-240
ISSN: 1440-1746
0815-9319
DOI: 10.1046/j.1440-1746.1999.01840.x
Popis: Aims: Endoscopic variceal ligation (EVL) is a recently developed alternative to endoscopic injection sclerotherapy (EIS) for the treatment of oesophageal varices. Endoscopic variceal ligation and EIS were compared in an attempt to clarify the efficacy and safety of EVL for patients with cirrhosis due to hepatitis C. Methods: Endoscopic variceal ligation was performed in 60 patients and EIS in 30. Varices were eradicated in all patients by EVL and 87% (26 out of 30) by EIS. Results: There was no significant difference between EVL and EIS in relation to the incidence of bleeding and the 5 year survival rate after treatment. There were no severe complications except mild substernal pain after EVL, while pulmonary embolism occurred in one patient receiving EIS. Conclusions: Endoscopic variceal ligation is a safe and effective technique for eradicating oesophageal varices in patients with hepatitis C cirrhosis.
Databáze: OpenAIRE
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