دورية أكاديمية
Esophageal variceal ligation for hemostasis of acute variceal bleeding: efficacy and safety.
| العنوان: | Esophageal variceal ligation for hemostasis of acute variceal bleeding: efficacy and safety. |
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| المؤلفون: | Lahbabi M; Department of Hepato Gastroenterology Hassan II University Hospital Fez, Morocco., Elyousfi M, Aqodad N, Elabkari M, Mellouki I, Ibrahimi SA, Benajah DA |
| المصدر: | The Pan African medical journal [Pan Afr Med J] 2013 Mar 10; Vol. 14, pp. 95. Date of Electronic Publication: 2013 Mar 10 (Print Publication: 2013). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kampala, Uganda : African Field Epidemiology Network |
| مواضيع طبية MeSH: | Hemostatic Techniques*/adverse effects, Esophageal and Gastric Varices/*surgery , Gastrointestinal Hemorrhage/*surgery, Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Esophageal and Gastric Varices/complications ; Female ; Gastrointestinal Hemorrhage/etiology ; Humans ; Ligation/adverse effects ; Male ; Middle Aged ; Retrospective Studies ; Young Adult |
| مستخلص: | Introduction: Endoscopic variceal ligation is widely accepted as the optimum endoscopic treatment for esophageal variceal hemorrhage. In Morocco, there are no data regarding the efficacy of this technique. Our aim was to evaluate the effectiveness and safety of endoscopic variceal ligation in the management of oesophageal variceal bleeding in cirrhosis in a located population in Morocco. Methods: Via a retrospective study over 118 months (December 2001- October 2011), cirrhotic patients with endoscopically proven esophageal variceal hemorrhage were treated by endoscopic variceal ligation. We studied the rate of haemostasis, rebleeding, complications and mortality. Results: 360 cirrhotic patients were included and 378 haemostatic variceal ligations were performed. Primary haemostasis was obtained in 96.5 % (N=365) of cases. Thirty three patients (8.7%) bled during follow-up. The rate of minor complications was 15.3 % (N=58). Retrosternal pain, fever, dysphagia and Overtube's migration developed in 8.4 % (N=32); 2.6 % (N=10); 3,7 % (N=14) and 0.5 % (N=2) of the patients respectively. Severity of these complications was mild and transient. The rate of oesophageal ulcers was 5 % (N=19), while the mortality rate by haemorrhage was 5 % (N=18). Conclusion: Our data showed that band ligation is an effective and safe treatment modality of esophageal variceal bleeding with low rates of rebleeding and complications. |
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| فهرسة مساهمة: | Keywords: Esophageal variceal ligation; complications; endoscopy; rebleeding; variceal bleeding |
| تواريخ الأحداث: | Date Created: 20130530 Date Completed: 20130930 Latest Revision: 20211021 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC3664877 |
| DOI: | 10.11604/pamj.2013.14.95.1847 |
| PMID: | 23717711 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1937-8688 |
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| DOI: | 10.11604/pamj.2013.14.95.1847 |