Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo

Background: Endoscopic ligation is the treatment of choice for bleeding esophageal varices. The usefulness of additional sclerotherapy is not clear. Aim: To assess the effectiveness of ligation followed by sclerotherapy in the treatment of variceal bleeding. Patients and methods: Forty eight patient...

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Autores principales:	Vargas T,Ling, Morales O,Ximena, Ovalle A,Loreto, Estay O,René, Soto H,J Ramón
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Esophageal varices Gastrointestinal hemorrhage Sclerotherapy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001200004
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spelling	oai:scielo:S0034-988720010012000042005-11-22Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivoVargas T,LingMorales O,XimenaOvalle A,LoretoEstay O,RenéSoto H,J Ramón Esophageal varices Gastrointestinal hemorrhage Sclerotherapy Background: Endoscopic ligation is the treatment of choice for bleeding esophageal varices. The usefulness of additional sclerotherapy is not clear. Aim: To assess the effectiveness of ligation followed by sclerotherapy in the treatment of variceal bleeding. Patients and methods: Forty eight patients with variceal bleeding admitted for emergency treatment and 73 patients admitted for elective treatment were studied. Varices were ligated until a significant reduction in size was achieved. Eradication was completed with the injection of 1% polidocanol. Results: In 34 of 48 patients admitted for emergency treatment, the site of variceal rupture was identified. In all these subjects, and in 13 of 14 patients in whom the rupture site was not identified, hemorrhage was stopped with the procedure. Varices were eradicated in 108 of the 121 patients. Hemorrhage recidivated in 12.5% of patients admitted for emergency treatment, in a period of 14 months of follow up and in 9.6% of those admitted for elective treatment, in a period of 16 months follow up. Mortality was 14, 18 and 57% among patients classified as Child Pugh A, B or C, respectively. Conclusions: Endoscopic ligation is effective in the treatment of variceal bleeding. Adding sclerotherapy, variceal eradication is achieved in a high percentage of patients. Survival depends on hepatic function (Rev Méd Chile 2001; 129: 1387-94)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.12 20012001-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001200004es10.4067/S0034-98872001001200004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Esophageal varices Gastrointestinal hemorrhage Sclerotherapy
spellingShingle	Esophageal varices Gastrointestinal hemorrhage Sclerotherapy Vargas T,Ling Morales O,Ximena Ovalle A,Loreto Estay O,René Soto H,J Ramón Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo
description	Background: Endoscopic ligation is the treatment of choice for bleeding esophageal varices. The usefulness of additional sclerotherapy is not clear. Aim: To assess the effectiveness of ligation followed by sclerotherapy in the treatment of variceal bleeding. Patients and methods: Forty eight patients with variceal bleeding admitted for emergency treatment and 73 patients admitted for elective treatment were studied. Varices were ligated until a significant reduction in size was achieved. Eradication was completed with the injection of 1% polidocanol. Results: In 34 of 48 patients admitted for emergency treatment, the site of variceal rupture was identified. In all these subjects, and in 13 of 14 patients in whom the rupture site was not identified, hemorrhage was stopped with the procedure. Varices were eradicated in 108 of the 121 patients. Hemorrhage recidivated in 12.5% of patients admitted for emergency treatment, in a period of 14 months of follow up and in 9.6% of those admitted for elective treatment, in a period of 16 months follow up. Mortality was 14, 18 and 57% among patients classified as Child Pugh A, B or C, respectively. Conclusions: Endoscopic ligation is effective in the treatment of variceal bleeding. Adding sclerotherapy, variceal eradication is achieved in a high percentage of patients. Survival depends on hepatic function (Rev Méd Chile 2001; 129: 1387-94)
author	Vargas T,Ling Morales O,Ximena Ovalle A,Loreto Estay O,René Soto H,J Ramón
author_facet	Vargas T,Ling Morales O,Ximena Ovalle A,Loreto Estay O,René Soto H,J Ramón
author_sort	Vargas T,Ling
title	Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo
title_short	Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo
title_full	Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo
title_fullStr	Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo
title_full_unstemmed	Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo
title_sort	ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: experiencia en la hemorragia activa y en el tratamiento electivo
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001200004
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Ligadura elástica complementada de esclerosis en el tratamiento de várices esofágicas: Experiencia en la hemorragia activa y en el tratamiento electivo

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