Tags

Type your tag names separated by a space and hit enter

Injection sclerotherapy of oesophageal variceal haemorrhage. A prospective long-term follow-up study.
Endoscopy. 1987 Sep; 19(5):181-4.E

Abstract

One-hundred-seventy-five patients with oesophageal variceal bleeding and liver cirrhosis who underwent long-term injection sclerotherapy were prospectively followed for 44 +/- SD 17 months. While aetiology (alcoholic vs. non-alcoholic cirrhosis) had no influence on survival, the Child status assessed at the time of initiation of sclerotherapy was of important prognostic value (mortality rate after a mean follow-up of 44 months: Child A 5%, Child B 45%, and Child C 83%). Initiation of sclerotherapy (elective vs. emergency) had no influence on survival in the A/B patients, whereas electively treated Child C patients had a somewhat better outcome than those in whom sclerotherapy was started during active bleeding. Rebleeding, especially within the first two months after starting repeat sclerotherapy, was significantly influenced by the Child status of the patients. About one-fourth of all deaths were combined with rebleeding in the Child B and C patients, but none of the A patients had intestinal bleeding prior to death. It is concluded that Child A patients have an excellent long-term prognosis after variceal haemorrhage treated by repeated endoscopic injection of the varices.

Authors+Show Affiliations

Medical Department II, University of Munich, West Germany.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3500037

Citation

Sauerbruch, T, et al. "Injection Sclerotherapy of Oesophageal Variceal Haemorrhage. a Prospective Long-term Follow-up Study." Endoscopy, vol. 19, no. 5, 1987, pp. 181-4.
Sauerbruch T, Weinzierl M, Ansari H, et al. Injection sclerotherapy of oesophageal variceal haemorrhage. A prospective long-term follow-up study. Endoscopy. 1987;19(5):181-4.
Sauerbruch, T., Weinzierl, M., Ansari, H., & Paumgartner, G. (1987). Injection sclerotherapy of oesophageal variceal haemorrhage. A prospective long-term follow-up study. Endoscopy, 19(5), 181-4.
Sauerbruch T, et al. Injection Sclerotherapy of Oesophageal Variceal Haemorrhage. a Prospective Long-term Follow-up Study. Endoscopy. 1987;19(5):181-4. PubMed PMID: 3500037.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Injection sclerotherapy of oesophageal variceal haemorrhage. A prospective long-term follow-up study. AU - Sauerbruch,T, AU - Weinzierl,M, AU - Ansari,H, AU - Paumgartner,G, PY - 1987/9/1/pubmed PY - 1987/9/1/medline PY - 1987/9/1/entrez SP - 181 EP - 4 JF - Endoscopy JO - Endoscopy VL - 19 IS - 5 N2 - One-hundred-seventy-five patients with oesophageal variceal bleeding and liver cirrhosis who underwent long-term injection sclerotherapy were prospectively followed for 44 +/- SD 17 months. While aetiology (alcoholic vs. non-alcoholic cirrhosis) had no influence on survival, the Child status assessed at the time of initiation of sclerotherapy was of important prognostic value (mortality rate after a mean follow-up of 44 months: Child A 5%, Child B 45%, and Child C 83%). Initiation of sclerotherapy (elective vs. emergency) had no influence on survival in the A/B patients, whereas electively treated Child C patients had a somewhat better outcome than those in whom sclerotherapy was started during active bleeding. Rebleeding, especially within the first two months after starting repeat sclerotherapy, was significantly influenced by the Child status of the patients. About one-fourth of all deaths were combined with rebleeding in the Child B and C patients, but none of the A patients had intestinal bleeding prior to death. It is concluded that Child A patients have an excellent long-term prognosis after variceal haemorrhage treated by repeated endoscopic injection of the varices. SN - 0013-726X UR - https://www.unboundmedicine.com/medline/citation/3500037/Injection_sclerotherapy_of_oesophageal_variceal_haemorrhage__A_prospective_long_term_follow_up_study_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1018277 DB - PRIME DP - Unbound Medicine ER -