Bleeding Esophageal Varices
| Autor: | Warren C. Widrich, Donald C. Nabseth, Harry L. Bush, Willard C. Johnson, Alan H. Robbins, Edward T. O'Hara |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Male
Vasopressin medicine.medical_specialty Percutaneous Vasopressins medicine.medical_treatment Esophagogastric varices Esophageal and Gastric Varices Liver Cirrhosis Alcoholic Recurrence medicine Humans Portasystemic Shunt Surgical Embolization Retrospective Studies business.industry Mortality rate Prognosis Embolization Therapeutic Shunting Bleeding esophageal varices Surgery Radiology Gastrointestinal Hemorrhage business Varices Splenorenal Shunt Surgical Research Article |
| Zdroj: | Annals of Surgery. 195:393-400 |
| ISSN: | 0003-4932 |
| Popis: | The fate of 359 consecutive alcoholic cirrhotic male patients with bleeding esophageal varices was determined through chart review and personal interview. Three historical periods (1966-70; 1971-75; 1976-80) were defined based on availability of different therapeutic modalities. Management of acutely bleeding varices by conservative, nonsurgical means, including embolization, was preferable to emergency surgery when considering 30-day mortality rates. Percutaneous transhepatic embolization of esophagogastric varices significantly improved the rate of control of hemorrhage and 30-day survival over previously employed nonsurgical methods. The combination of nonsurgical management of acute variceal hemorrhage followed by selective distal splenorenal shunting resulted in maximum salvage of the alcoholic cirrhotic patient. |
| Databáze: | OpenAIRE |
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