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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 7
Jul.  2014
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Article Contents

Short-term efficacy of EVL, EIS, and TAI in treatment of esophageal variceal bleeding

DOI: 10.3969/j.issn.1001-5256.2014.07.013
  • Received Date: 2013-12-16
  • Published Date: 2014-07-20
  • Objective To observe the changes in degree of varices, red signs, and portal hypertensive gastropathy in liver cirrhosis patients with esophageal variceal bleeding (EVB) after endoscopic variceal ligation ( EVL) , endoscopic injection sclerotherapy ( EIS) , and tissue adhesive injection (TAI) . Methods A retrospective analysis was performed on 75 patients with EVB, who were initially treated with EVL, EIS, or TAI in our hospital from September 2011 to September 2013. At 2- 4 weeks after operation, gastroscopy was performed to evaluate the changes in the number and diameter of varices, red signs, and portal hypertensive gastropathy. Within- group comparison was made by paired t test, and comparison of rates was made by chi- square test. Results The number and diameter of varices decreased significantly after endoscopic therapy (3. 08 ± 0. 96 vs 3. 75 ± 0. 60, t = 5. 26, P < 0. 05; 1. 05 ± 0. 46 cm vs 1. 49 ± 0. 26 cm, t = 9. 84, P < 0. 05) .The rate of red signs also decreased significantly after operation (26. 67% vs 57. 33%, χ2= 14. 48, P < 0. 05) . However, the rate of portal hypertensive gastropathy decreased nonsignificantly after treatment (70. 67% vs 72. 00%, χ2= 0. 03, P > 0. 05) . Conclusion EVL, EIS, and TAI are effective and safe in liver cirrhosis patients with EVB.

     

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