Injection Sclerotherapy of Bleeding Oesophageal and Gastric Varices Using a Flexible Endoscope
Autor: | Arne R. Rosseland, Njaal Stray, Carl Ditlef Jacobsen |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Polidocanol Esophageal and Gastric Varices Gastroenterology Polyethylene Glycols Varicose Veins Internal medicine Varicose veins Internal Medicine Sclerotherapy Fiber Optic Technology Humans Medicine Child Aged medicine.diagnostic_test business.industry Stomach Sclerosing Solutions Endoscopy Middle Aged Gastric varices medicine.disease Surgery medicine.anatomical_structure Female medicine.symptom Gastrointestinal Hemorrhage business Varices Follow-Up Studies medicine.drug |
Zdroj: | Acta Medica Scandinavica. 211:125-129 |
ISSN: | 0001-6101 |
Popis: | Thirteen patients with acute or recent bleeding from gastro-oesophageal varices were treated by sclerotherapy using flexible fiberoptic endoscope. Primary haemostasis was obtained in 10 of 11 admissions with active bleeding. Three patients have been treated for gastric varices with the same method. Such treatment has not been reported before. During the follow-up period, three patients died, two of variceal haemorrhage and one of pneumonia. Ten patients are still alive 2-53 months after the first admission. A total of 117 treatment courses were given, on an average 9 per patient. Complications included superficial mucosal necrosis without clinical consequences in several cases, 3 patients developed oesophageal and gastric ulcers and one moderate oesophageal stenosis. Rebleeding occurred in 4 patients, in 2 of them because of ulcers at the sites of injections. |
Databáze: | OpenAIRE |
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