The clinical observation of endoscopic variceal ligation and tissue glue injection therapy in the treatment of patients with esophageal and gastric fundal varices
10.3760/cma.j.issn.0254-1432.2011.11.001
- VernacularTitle:内镜下套扎和组织胶注射分别治疗食管和胃底静脉曲张患者的临床观察
- Author:
Hongjian WANG
;
Yongzhong CHEN
;
Baisui FENG
;
Yanyan WEI
;
Jiansheng LI
- Publication Type:Journal Article
- Keywords:
Esophageal and gastric varices;
Ligation;
Fibrin tissue adhesive;
Endoscopic,digestive system
- From:
Chinese Journal of Digestion
2011;31(11):721-723
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the therapeutic effects and value of endoscopic variceal ligation and tissue glue injection therapy in esophageal and gastric fundal varices.Methods184 patients with severe esophageal varices underwent endoscopic variceal ligation treatment,and 32 cases of those accompanied with gastric fundal varices were treated with tissue glue injection therapy.All patients were followed-up for 6-months to observe the therapeutic effects and complication of endoscopic variceal ligation and tissue glue injection therapy.ResultsThe effective rate of endoscopic variceal ligation in severe esophageal varices was 71.74 ％ ( 132/184 ),the rate of acute hemostasis was 95.00％(57/60)and the rate of complication was 2.17 ％ (4/184).The effective rate of tissue glue injection in gastric fundal varices was 100％ (32/32) and the rate of complication was 21.88％ (7/32) (7 cases with refractory ulcers in injection site,2 of refractory ulcers cases with bleeding).There was no perforation and severe infection complications.ConclusionEndoscopic variceal ligation and tissue glue injection therapy have good therapeutic effects in esophageal and gastric fundal varices.
