Therapeutic effect of endoscopic devascularization of esophageal gastric varices(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第6期
- Page:
- 738-741
- Research Field:
- 医疗新技术
- Publishing date:
Info
- Title:
- Therapeutic effect of endoscopic devascularization of esophageal gastric varices
- Author(s):
- PANG Meizhi; HE Kajie; ZOU Youbao; RAO Guanhua
- First Division of Digestion, Qinzhou First People’s Hospital, Qinzhou 535000, China
- Keywords:
- ; endoscopy; esophageal gastric varices; precise devascularization
- PACS:
- R571.3
- DOI:
- DOI:10.3969/j.issn.1005-202X.2018.06.022
- Abstract:
- Objective To observe the therapeutic therapy of endoscopic esophageal gastric variceal devascularization (ESVD). Methods Eighty patients with portal hypertension and esophagogastric variceal bleeding treated in Qinzhou First People’s Hospital from January 2017 to August 2017 were selected and then divided into observation group and control group, with 40 cases in each group. The patients in control group were given endoscopic ligation therapy, and those in observation group were treated with endoscopic ESVD. The general surgery condition and gastroesophageal varices improvements in the two groups were record. The rebleeding rate and complication rate within 6 months after treatment were compared between two groups. Results No significant differences were found between two groups in general surgery condition, including operative time, intraoperative blood loss and postoperative hospital stay (P>0.05). The effective rate in observation group was higher than that in control group (85% vs 55%, P<0.05). At 3 and 6 months after operation, the rebleeding rate was 5% and 10% in observation group, which were lower than 30% and 40% in control group (P<0.05). At 6 months after operation, the complication rate is slightly lower in observation group as compared with control group, but the differences were trivial (P>0.05). Conclusion Endoscopic ESVD for patients with portal hypertension and esophageal variceal bleeding achieves a good short-term therapeutic effect and promote the recovery, but the long-term efficacy is needed to be further observed.
Last Update: 2018-06-22