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Emergency and elective sclerotherapy of oesophageal varices.
Ann R Coll Surg Engl. 1988 Jan; 70(1):24-8.AR

Abstract

Endoscopic injection sclerotherapy of oesophageal varices was performed in 71 patients: 50 with intrahepatic and 21 with extrahepatic block. In summary 330 procedures were done: 220 under general anaesthesia using the Negus rigid oesophagoscope and 110 with diazepam as premedication using a flexible, fibreoptic endoscope. Definitive control of variceal haemorrhage was achieved in 30 of 34 emergency admissions (88%). The hospital mortality in acute variceal bleeding was 26.5%. Elective, repeated sclerotherapy was performed in 60 patients. In 43 patients complete obliteration of varices or their marked reduction were observed. Rebleeding occurred in 23% and major complications in 17% of patients. The overall one year survival rate was 82%. We consider sclerotherapy as a method of choice in bleeding oesophageal varices uncontrollable by vasopressin and balloon tamponade. It also represents a valuable method of preventing rebleeding particularly in patients with a high operative risk.

Authors+Show Affiliations

Department of Surgery, Research Institute of Hematology, Warsaw, Poland.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3261565

Citation

Szczepanik, A B., and W J. Rudowski. "Emergency and Elective Sclerotherapy of Oesophageal Varices." Annals of the Royal College of Surgeons of England, vol. 70, no. 1, 1988, pp. 24-8.
Szczepanik AB, Rudowski WJ. Emergency and elective sclerotherapy of oesophageal varices. Ann R Coll Surg Engl. 1988;70(1):24-8.
Szczepanik, A. B., & Rudowski, W. J. (1988). Emergency and elective sclerotherapy of oesophageal varices. Annals of the Royal College of Surgeons of England, 70(1), 24-8.
Szczepanik AB, Rudowski WJ. Emergency and Elective Sclerotherapy of Oesophageal Varices. Ann R Coll Surg Engl. 1988;70(1):24-8. PubMed PMID: 3261565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergency and elective sclerotherapy of oesophageal varices. AU - Szczepanik,A B, AU - Rudowski,W J, PY - 1988/1/1/pubmed PY - 1988/1/1/medline PY - 1988/1/1/entrez SP - 24 EP - 8 JF - Annals of the Royal College of Surgeons of England JO - Ann R Coll Surg Engl VL - 70 IS - 1 N2 - Endoscopic injection sclerotherapy of oesophageal varices was performed in 71 patients: 50 with intrahepatic and 21 with extrahepatic block. In summary 330 procedures were done: 220 under general anaesthesia using the Negus rigid oesophagoscope and 110 with diazepam as premedication using a flexible, fibreoptic endoscope. Definitive control of variceal haemorrhage was achieved in 30 of 34 emergency admissions (88%). The hospital mortality in acute variceal bleeding was 26.5%. Elective, repeated sclerotherapy was performed in 60 patients. In 43 patients complete obliteration of varices or their marked reduction were observed. Rebleeding occurred in 23% and major complications in 17% of patients. The overall one year survival rate was 82%. We consider sclerotherapy as a method of choice in bleeding oesophageal varices uncontrollable by vasopressin and balloon tamponade. It also represents a valuable method of preventing rebleeding particularly in patients with a high operative risk. SN - 0035-8843 UR - https://www.unboundmedicine.com/medline/citation/3261565/Emergency_and_elective_sclerotherapy_of_oesophageal_varices_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/3261565/ DB - PRIME DP - Unbound Medicine ER -