Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas

Background: Endoscopic band ligation is the treatment of choice for bleeding esophageal varices. However it is not clear if this procedure is associated with less early and late mortality than sclerotherapy. Aim: To assess rates of re-bleeding and mortality in cohorts of patients with bleeding esoph...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ríos,Eddy, Sierralta,Armando, Abarzúa,Marigraciela, Bastías,Joaquín, Barra,María Inés
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Esophageal and gastric varices Hypertension, portal Sclerotherapy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000600003
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872012000600003
record_format	dspace
spelling	oai:scielo:S0034-988720120006000032014-03-10Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativasRíos,EddySierralta,ArmandoAbarzúa,MarigracielaBastías,JoaquínBarra,María Inés Esophageal and gastric varices Hypertension, portal Sclerotherapy Background: Endoscopic band ligation is the treatment of choice for bleeding esophageal varices. However it is not clear if this procedure is associated with less early and late mortality than sclerotherapy. Aim: To assess rates of re-bleeding and mortality in cohorts of patients with bleeding esophageal varices treated with endos-copic injection or band ligation. Patients and Methods: Analysis of medical records and endoscopy reports of two cohorts of patients with bleeding esophageal varices, treated between 1990 and 2010. Of these, 54 patients were treated with sclerotherapy and 90 patients with band ligation. A third cohort of 116patients that did not require endoscopic treatment, was included. The mean analyzed follow up period was 2.5 years (range 1-16). Collection of data was retrospective for patients treated with sclerotherapy and prospective for patients treated with band ligation. Rates of re-bleeding and medium term mortality were assessed. Results: During the month ensuing the first endoscopic treatment, re-bleeding was recorded in 39 and 72% of patients treated with band ligation and sclerotherapy, respectively (p < 0.01). The relative risk of bleeding after band ligation was 0.53 (95% confidence limits 0.390.73). Death rates until the end of follow up were 20 and 48% among patients with treated with band ligation and sclerotherapy, respectively (p < 0.01), with a relative risk of dying for patients subjected to band ligation of 0.41 (95% confidence limits 0.25-0.68). Conclusions: Band ligation was associated with lower rates of re-bleeding and mortality in these cohorts of patients.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.6 20122012-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000600003es10.4067/S0034-98872012000600003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Esophageal and gastric varices Hypertension, portal Sclerotherapy
spellingShingle	Esophageal and gastric varices Hypertension, portal Sclerotherapy Ríos,Eddy Sierralta,Armando Abarzúa,Marigraciela Bastías,Joaquín Barra,María Inés Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas
description	Background: Endoscopic band ligation is the treatment of choice for bleeding esophageal varices. However it is not clear if this procedure is associated with less early and late mortality than sclerotherapy. Aim: To assess rates of re-bleeding and mortality in cohorts of patients with bleeding esophageal varices treated with endos-copic injection or band ligation. Patients and Methods: Analysis of medical records and endoscopy reports of two cohorts of patients with bleeding esophageal varices, treated between 1990 and 2010. Of these, 54 patients were treated with sclerotherapy and 90 patients with band ligation. A third cohort of 116patients that did not require endoscopic treatment, was included. The mean analyzed follow up period was 2.5 years (range 1-16). Collection of data was retrospective for patients treated with sclerotherapy and prospective for patients treated with band ligation. Rates of re-bleeding and medium term mortality were assessed. Results: During the month ensuing the first endoscopic treatment, re-bleeding was recorded in 39 and 72% of patients treated with band ligation and sclerotherapy, respectively (p < 0.01). The relative risk of bleeding after band ligation was 0.53 (95% confidence limits 0.390.73). Death rates until the end of follow up were 20 and 48% among patients with treated with band ligation and sclerotherapy, respectively (p < 0.01), with a relative risk of dying for patients subjected to band ligation of 0.41 (95% confidence limits 0.25-0.68). Conclusions: Band ligation was associated with lower rates of re-bleeding and mortality in these cohorts of patients.
author	Ríos,Eddy Sierralta,Armando Abarzúa,Marigraciela Bastías,Joaquín Barra,María Inés
author_facet	Ríos,Eddy Sierralta,Armando Abarzúa,Marigraciela Bastías,Joaquín Barra,María Inés
author_sort	Ríos,Eddy
title	Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas
title_short	Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas
title_full	Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas
title_fullStr	Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas
title_full_unstemmed	Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas
title_sort	comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el hospital hernán henríquez de temuco: estudio de cohortes comparativas
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000600003
work_keys_str_mv	AT rioseddy comparaciondelaefectividaddelaligaduravsesclerosisendoscopicaenpacientesconsangradodevaricesesofagicasenelhospitalhernanhenriquezdetemucoestudiodecohortescomparativas AT sierraltaarmando comparaciondelaefectividaddelaligaduravsesclerosisendoscopicaenpacientesconsangradodevaricesesofagicasenelhospitalhernanhenriquezdetemucoestudiodecohortescomparativas AT abarzuamarigraciela comparaciondelaefectividaddelaligaduravsesclerosisendoscopicaenpacientesconsangradodevaricesesofagicasenelhospitalhernanhenriquezdetemucoestudiodecohortescomparativas AT bastiasjoaquin comparaciondelaefectividaddelaligaduravsesclerosisendoscopicaenpacientesconsangradodevaricesesofagicasenelhospitalhernanhenriquezdetemucoestudiodecohortescomparativas AT barramariaines comparaciondelaefectividaddelaligaduravsesclerosisendoscopicaenpacientesconsangradodevaricesesofagicasenelhospitalhernanhenriquezdetemucoestudiodecohortescomparativas
_version_	1718436630521446400

Comparación de la efectividad de la ligadura vs esclerosis endoscópica en pacientes con sangrado de várices esofágicas en el Hospital Hernán Henríquez de Temuco: estudio de cohortes comparativas

Ejemplares similares