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Treatment of bleeding gastroesophageal varices: a report of forty-four cases.
Med J Malaysia. 1992 Dec; 47(4):267-72.MJ

Abstract

Bleeding gastroesophageal varices is associated with a high morbidity and mortality. Forty-four cases of bleeding gastroesophageal varices were treated at the Department of Surgery, Universiti Kebangsaan Malaysia, General Hospital, Kuala Lumpur over four and a half years. Thirty-two of them had liver cirrhosis. Hepatitis B infection was noted in 13 and alcoholic abuse was present in 14 patients. Five patients had associated hepatoma. Thirty-four percent had gastric fundal varices and a third of these bled from them. A total of 179 endoscopic injection sclerotherapy sessions were performed averaging 4 per person. Rebleeding rate was 4% and mortality was high (50%) in these cases. It was concluded that injection sclerotherapy is a safe and effective means of controlling bleeding oesophageal varices. Operative surgery was employed in those who rebled after injection and would be considered in those in Child's A.

Authors+Show Affiliations

Department of Surgery, Universiti Kebangsaan, Kuala Lumpur.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1303478

Citation

Tay, S K., et al. "Treatment of Bleeding Gastroesophageal Varices: a Report of Forty-four Cases." The Medical Journal of Malaysia, vol. 47, no. 4, 1992, pp. 267-72.
Tay SK, Leong YP, Meah FA, et al. Treatment of bleeding gastroesophageal varices: a report of forty-four cases. Med J Malaysia. 1992;47(4):267-72.
Tay, S. K., Leong, Y. P., Meah, F. A., Abdullah, T., & Zain, A. R. (1992). Treatment of bleeding gastroesophageal varices: a report of forty-four cases. The Medical Journal of Malaysia, 47(4), 267-72.
Tay SK, et al. Treatment of Bleeding Gastroesophageal Varices: a Report of Forty-four Cases. Med J Malaysia. 1992;47(4):267-72. PubMed PMID: 1303478.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of bleeding gastroesophageal varices: a report of forty-four cases. AU - Tay,S K, AU - Leong,Y P, AU - Meah,F A, AU - Abdullah,T, AU - Zain,A R, PY - 1992/12/1/pubmed PY - 1992/12/1/medline PY - 1992/12/1/entrez SP - 267 EP - 72 JF - The Medical journal of Malaysia JO - Med J Malaysia VL - 47 IS - 4 N2 - Bleeding gastroesophageal varices is associated with a high morbidity and mortality. Forty-four cases of bleeding gastroesophageal varices were treated at the Department of Surgery, Universiti Kebangsaan Malaysia, General Hospital, Kuala Lumpur over four and a half years. Thirty-two of them had liver cirrhosis. Hepatitis B infection was noted in 13 and alcoholic abuse was present in 14 patients. Five patients had associated hepatoma. Thirty-four percent had gastric fundal varices and a third of these bled from them. A total of 179 endoscopic injection sclerotherapy sessions were performed averaging 4 per person. Rebleeding rate was 4% and mortality was high (50%) in these cases. It was concluded that injection sclerotherapy is a safe and effective means of controlling bleeding oesophageal varices. Operative surgery was employed in those who rebled after injection and would be considered in those in Child's A. SN - 0300-5283 UR - https://www.unboundmedicine.com/medline/citation/1303478/Treatment_of_bleeding_gastroesophageal_varices:_a_report_of_forty_four_cases_ L2 - http://www.e-mjm.org/1992/v47n4/Bleeding_Gastroesophageal_Varices.pdf DB - PRIME DP - Unbound Medicine ER -