Preliminary evaluation of endoscopic selective varices devascularization in children
10.3760/cma.j.issn.0578‐1310.2019.07.006
- VernacularTitle:内镜下食管胃静脉曲张精准断流术治疗儿童食管胃静脉曲张初步效果评价
- Author:
Xiumin QIN
1
;
Hui GUO
;
Tianlu MEI
;
Yufeng PAN
;
Xiwei XU
Author Information
1. 国家儿童医学中心首都医科大学附属北京儿童医院消化科100045
- Keywords:
Esophageal and gastric varices;
Natural orifice endoscopic surgery;
Child
- From:
Chinese Journal of Pediatrics
2019;57(7):526-531
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of the endoscopic selective varices devascularization (ESVD) for the esophageal gastric varices bleeding (EGVB) in children. Methods The clinical data of the patients diagnosed with EGVB and treated with ESVD from January 2018 to March 2018 were retrospectively analyzed. The effects, safety and complications of ESVD were evaluated. Results There were five patients (including 2 males and 3 females, age ranged from 4 to 7 years) in the study. No rebleeding was found at the first follow‐up on one week post operation. Three patients were treated with the endo‐therapy at the twice follow‐up (3 months after surgery): 2 patients had ESVD again and 1 patient had resection under endoscopy due to stenosis caused by surgical scar. After the second procedure, there was no rebleeding but one patient had abdominal pain caused by mesenteric thrombosis, cured with low molecular weight heparin. Conclusion The ESVD for EGVB is safe and effective, but the long‐term curative effect should be further studied.
