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[Embolization of esophageal varices by the transjugular route in severe digestive hemorrhage in cirrhotic patients. Prospective study of 83 patients].
Gastroenterol Clin Biol. 1985 Nov; 9(11):814-8.GC

Abstract

A prospective study was undertaken to assess the results of embolization of esophageal varices by the transjugular approach, in 83 patients with advanced cirrhosis (65 p. 100 Child's class C) admitted with severe bleeding (mean of 10 units of blood per patient). Embolization was successfully completed in 65 patients (78 p. 100) and complete obliteration was achieved in 50 (60 p. 100). Twenty-nine procedures were performed on actively bleeding patients. Cessation of bleeding was observed in 22 (76 p. 100). Excluding the 5 patients in whom embolization could not be achieved, the success rate was 92 p. 100. Embolization was attempted as an elective procedure in 54 patients who were not actively bleeding. Recurrent hemorrhage occurred in 18 patients (33 p. 100) during the first month of follow-up. Finally, 38 patients rebled and 57 died. No accident could be ascribed to the procedure. It is concluded that: (a) the transjugular approach proved to be safe in actively bleeding patients with severe cirrhosis; (b) variceal obliteration effectively controlled active bleeding. The efficacy of this procedure was limited in time. The use of embolization is further hindered by a consistent failure rate and by the development of new therapeutic modalities, such as sclerotherapy.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

3878812

Citation

Vinel, J P., et al. "[Embolization of Esophageal Varices By the Transjugular Route in Severe Digestive Hemorrhage in Cirrhotic Patients. Prospective Study of 83 Patients]." Gastroenterologie Clinique Et Biologique, vol. 9, no. 11, 1985, pp. 814-8.
Vinel JP, Scotto JM, Levade M, et al. [Embolization of esophageal varices by the transjugular route in severe digestive hemorrhage in cirrhotic patients. Prospective study of 83 patients]. Gastroenterol Clin Biol. 1985;9(11):814-8.
Vinel, J. P., Scotto, J. M., Levade, M., Teisseire, R., Cassigneul, J., Cales, P., Voigt, J. J., & Pascal, J. P. (1985). [Embolization of esophageal varices by the transjugular route in severe digestive hemorrhage in cirrhotic patients. Prospective study of 83 patients]. Gastroenterologie Clinique Et Biologique, 9(11), 814-8.
Vinel JP, et al. [Embolization of Esophageal Varices By the Transjugular Route in Severe Digestive Hemorrhage in Cirrhotic Patients. Prospective Study of 83 Patients]. Gastroenterol Clin Biol. 1985;9(11):814-8. PubMed PMID: 3878812.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Embolization of esophageal varices by the transjugular route in severe digestive hemorrhage in cirrhotic patients. Prospective study of 83 patients]. AU - Vinel,J P, AU - Scotto,J M, AU - Levade,M, AU - Teisseire,R, AU - Cassigneul,J, AU - Cales,P, AU - Voigt,J J, AU - Pascal,J P, PY - 1985/11/1/pubmed PY - 1985/11/1/medline PY - 1985/11/1/entrez SP - 814 EP - 8 JF - Gastroenterologie clinique et biologique JO - Gastroenterol. Clin. Biol. VL - 9 IS - 11 N2 - A prospective study was undertaken to assess the results of embolization of esophageal varices by the transjugular approach, in 83 patients with advanced cirrhosis (65 p. 100 Child's class C) admitted with severe bleeding (mean of 10 units of blood per patient). Embolization was successfully completed in 65 patients (78 p. 100) and complete obliteration was achieved in 50 (60 p. 100). Twenty-nine procedures were performed on actively bleeding patients. Cessation of bleeding was observed in 22 (76 p. 100). Excluding the 5 patients in whom embolization could not be achieved, the success rate was 92 p. 100. Embolization was attempted as an elective procedure in 54 patients who were not actively bleeding. Recurrent hemorrhage occurred in 18 patients (33 p. 100) during the first month of follow-up. Finally, 38 patients rebled and 57 died. No accident could be ascribed to the procedure. It is concluded that: (a) the transjugular approach proved to be safe in actively bleeding patients with severe cirrhosis; (b) variceal obliteration effectively controlled active bleeding. The efficacy of this procedure was limited in time. The use of embolization is further hindered by a consistent failure rate and by the development of new therapeutic modalities, such as sclerotherapy. SN - 0399-8320 UR - https://www.unboundmedicine.com/medline/citation/3878812/[Embolization_of_esophageal_varices_by_the_transjugular_route_in_severe_digestive_hemorrhage_in_cirrhotic_patients__Prospective_study_of_83_patients]_ L2 - http://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -