Esophageal variceal ligation for hemostasis of acute variceal bleeding: efficacy and safety
| Autor: | Mohammed Elabkari, Mounia Lahbabi, I. Mellouki, Sidi Adil Ibrahimi, N. Aqodad, M. Elyousfi, Dafr Allah Benajah |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Cirrhosis complications Adolescent Population Esophageal and Gastric Varices Gastroenterology Young Adult Internal medicine Humans Medicine endoscopy variceal bleeding education Ligation Aged Retrospective Studies Aged 80 and over lcsh:R5-920 education.field_of_study medicine.diagnostic_test Hemostatic Techniques business.industry lcsh:Public aspects of medicine Research Mortality rate lcsh:RA1-1270 Esophageal variceal ligation Retrospective cohort study General Medicine Middle Aged medicine.disease Dysphagia Surgery Endoscopy Hemostasis Acute Disease Female medicine.symptom lcsh:Medicine (General) Gastrointestinal Hemorrhage business rebleeding |
| Zdroj: | The Pan African Medical Journal The Pan African Medical Journal, Vol 14, Iss 95 (2013) Pan African Medical Journal; Vol 14, No 1 (2013) |
| ISSN: | 1937-8688 |
| Popis: | Introduction: Endoscopic variceal ligation is widely accepted as the optimum endoscopic treatment for esophageal variceal hemorrhage. In Morocco, there are no data regarding the efficacy of this technique. Our aim was to evaluate the effectiveness and safety of endoscopic variceal ligation in the management of oesophageal variceal bleeding in cirrhosis in a located population in Morocco. Methods: Via a retrospective study over 118 months (December 2001- October 2011), cirrhotic patients with endoscopically proven esophageal variceal hemorrhage were treated by endoscopic variceal ligation. We studied the rate of haemostasis, rebleeding, complications and mortality. Results: 360 cirrhotic patients were included and 378 haemostatic variceal ligations were performed. Primary haemostasis was obtained in 96.5 % (N=365) of cases. Thirty three patients (8.7%) bled during follow-up. The rate of minor complications was 15.3 % (N=58). Retrosternal pain, fever, dysphagia and Overtube’s migration developed in 8.4 % (N=32); 2.6 % (N=10); 3,7 % (N=14) and 0.5 % (N=2) of the patients respectively. Severity of these complications was mild and transient. The rate of oesophageal ulcers was 5 % (N=19), while the mortality rate by haemorrhage was 5 % (N=18). Conclusion: Our data showed that band ligation is an effective and safe treatment modality of esophageal variceal bleeding with low rates of rebleeding and complications. Pan African Medical Journal 2013; 14: 95 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|