Comparison among Endoscopic Variceal Obliteration, Endoscopic Band Ligation, and Balloon-occluded Retrograde Transvenous Obliteration for Treatment of Gastric Variceal Bleeding / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 302-308, 2011.
Article
в Ko
| WPRIM
| ID: wpr-175650
Ответственная библиотека:
WPRO
ABSTRACT
BACKGROUND/AIMS: Endoscopic variceal obliteration (EVO), endoscopic variceal ligation (EVL), and balloon-occluded retrograde transvenous obliteration (BRTO) are used to manage gastric variceal bleeding. We compared the re-bleeding rates and survival times of these modalities. METHODS: The study enrolled 103 patients with suspected gastric variceal bleeding between July 2001 and May 2009. For the management of gastric variceal bleeding, 52 patients underwent EVO; 36, EVL; and 15, BRTO. We evaluated their laboratory results and vital signs, and calculated the Child score, Child classification, and Model for End-stage Liver Disease score. Rebleeding was defined as new-onset hematemesis, hematochezia, melena, or endoscopically proven bleeding. Time-to-rebleeding and survival time were examined by Kaplan-Meyer analysis. A value of p<0.05 indicated statistical significance. RESULTS: There were no significant differences in baseline characteristics among the three groups. The overall follow-up period averaged 65.13 months. During follow-up, rebleeding occurred in 17 patients (11 EVO, 5 EVL, and 1 BRTO). The times-to-rebleeding were 63.59, 75.79, and 51.41 months for EVO, EVL, and BRTO, respectively, and did not differ significantly (p=0.515). The median survival times were 77.42, 70.14, and 42.79 months, respectively, and also were not different significantly (p=0.978). CONCLUSIONS: There were no significant differences in the time-to-rebleeding or survival time among EVO, EVL, and BRTO. Further prospective, large-scale studies are needed.
Key words
Полный текст:
1
База данных:
WPRIM
Основная тема:
Recurrence
/
Severity of Illness Index
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Esophageal and Gastric Varices
/
Retrospective Studies
/
Endoscopy, Gastrointestinal
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Balloon Occlusion
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Enbucrilate
/
Gastrointestinal Hemorrhage
/
Ligation
/
Liver Cirrhosis
Тип исследования:
Observational_studies
/
Prognostic_studies
Пределы темы:
Adult
/
Aged
/
Female
/
Humans
/
Male
Язык:
Ko
Журнал:
The Korean Journal of Gastroenterology
Год:
2011
Тип:
Article