Efficacy of the emergency endoscopic sclerotherapy and tissue adhesives embolization of bleeding esophageal varices
10.3760/cma.j.issn.1008-6315.2015.04.021
- VernacularTitle:急诊内镜下硬化及组织黏合剂栓塞术对食管胃静脉曲张破裂出血的效果观察
- Author:
Jianming WANG
;
Yanyan JIA
- Publication Type:Journal Article
- Keywords:
Esophageal gastric varices;
Endoscopy;
Hardening;
Tissue adhesives embolization
- From:
Clinical Medicine of China
2015;(4):351-353
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical value of the emergency endoscopic sclerotherapy and tissue adhesives embolization on patients with gastroesophageal varices bleeding. Methods A retrospective analysis of 52 cases of esophageal variceal bleeding in patients with clinical data was performed. Of which,22 patients were given conservative treatment alone and they were served as conservative treatment group. Another 30 patients were given the emergency endoscopic sclerotherapy and/ or tissue adhesive embolization besides the basis of conservative treatment,and they served as endoscopic treatment group. The data of hospitalization and mortality,rebleeding rates were recorded during hospitalized time and 1 year off hospitalization. Results The indices of hospitalized periods in endoscopic treatment group was( 16. 2 ± 1. 5)d,shorter than that in conservative treatment group((17. 6 ± 2. 1)d,P = 0. 53). The mortality and rebleeding rate in endoscopic treatment group in followed up periods were 3. 3% and 6. 6%,lower than those in conservative treatment group (9. 1%,13. 6%),and the comparison of relative risk RR of two groups of mortality and rebleeding rate were 2. 76 and 2. 06. Conclusion The therapy of emergency endoscopic sclerotherapy and tissue adhesives embolization of bleeding esophageal varices shows a good effect and it is worth recommending.
