Risk factors of early rebleeding after endoscopic variceal ligation and/or endoscopic injection of fibrin tissue adhesive
10.3760/cma.j.issn.1007-5232.2012.10.001
- VernacularTitle:食管胃底静脉曲张内镜下套扎及组织胶注射术后早期再出血的危险因素分析
- Author:
Wenyan LIANG
;
Peng LI
;
Ming JI
;
Shutian ZHANG
- Publication Type:Journal Article
- Keywords:
Esophageal and gastric varices;
Endoscopic variceal ligation;
Endoscopic injection of fibrin tissue adhesive;
Early rebleeding
- From:
Chinese Journal of Digestive Endoscopy
2012;29(10):541-544
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the independent risk factors of early rebleeding after endoscopic variceal ligation (EVL) and/or endoscopic injection of fibrin tissue adhesive.Methods Data of 370 patients who had cirrhosis and accepted 396 procedures of EVL and/or endoscopic injection of fibrin tissue adhesive were retrospectively studied.Independent risk factors for early rebleeding were determined by Logistic regression analysis.Results Results of all the factors that were significantly different between the re-bleeding and non-rebleeding patients,the portal vein diameter,ascites volume,Child-Pugh score and serum albumin were independent ones of early rebleeding after EVL and/or endoscopic injection of fibrin tissue adhesive ( P ＜ 0.05).Larger volume of ascites,wider portal vein diameter,reduced albumin,Child-Pugh score greater than 10 were indicative factors of rebleeding.Conclusion The early rebleeding rate after EVL and/or endoscopic injection of fibrin tissue adhesive is determined by portal vein diameter,ascites volume,ChildPugh score,and serum albumin.
