Prospective study on 180 cases of endoscopic selective varies devascularization
10.3969/j.issn.1007-1989.2018.05.019
- VernacularTitle:内镜下精准食管胃静脉曲张断流术的前瞻性研究(附180例报告)
- Author:
Chuan-Kun CAO
1
;
De-Run KONG
;
Ting XIAO
Author Information
1. 淮南东方医院集团凤凰医院 消化内科
- Keywords:
liver cirrhosis;
esophageal and gastric varices;
endoscopic selective varies devascularization
- From:
China Journal of Endoscopy
2018;24(5):103-108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy and safety of endoscopic selective varies devascularization prospectively. Methods 180 cases of cirrhosis with esophagogastric variceal endoscopic treatment were included in the prospective analysis. They were treated with selective source of blood vessel devascularization using modified sandwich method (lauromacrogol-tissue adhesive-saline). The improvement rates, effective rates, significant effective rates, rebleeding rates and rates of complications were observed. Results One month after treatment, the significant effective rate of varices was 67.8% (122/180), effective rate was 30.0% (54/180), inefficient rate was 2.2% (4/180) and improvement rate was 97.8% (176/180). Within two weeks after treatment, the rebleeding rate was 3.3% (6/180). Within three months after treatment, the rebleeding rate was 7.2% (13/180). No serious complications occurred. The incidence of overall complication was 37.8% (68/180). Conclusion Endoscopic selective varies devascularization has good efficacy and safety, and is worth promoting.
