RESUMO
In a 32 months period, 31 patients having esophageal varices, 29 of which were with an acute episode of digestive hemorrhage coming from those varices, had undergone fiberendoscopic sclerotherapy. The hemorrhage stopped in 24 patients (82,7%), 17 (58,6%) of which are over one year without bleeding. Complications were minimal, not having major complication imputable to the method. Global mortality was from 8 patients (25,8%) being in 5 (16,3%) attributable to a varicose returning, and in the rest, to other causes. The authors believe that fiberendoscopic sclerosis of esophageal varices is an interesting alternative for the treatment of the bleeding episodes provoked by those varices, because of the high mortality of the surgery in the same eventuality.
Assuntos
Varizes Esofágicas e Gástricas/tratamento farmacológico , Soluções Esclerosantes/uso terapêutico , Adulto , Idoso , Varizes Esofágicas e Gástricas/complicações , Esofagoscopia , Feminino , Hemorragia Gastrointestinal/tratamento farmacológico , Hemorragia Gastrointestinal/etiologia , Humanos , Hipertensão Portal/etiologia , Masculino , Pessoa de Meia-IdadeRESUMO
En un periodo de 32 meses, 31 pacientes portadores de varices esofagicas, de los cuales 29 se encontraban con un episodio agudo de hemorragia digestiva proveniente de dichas varices, fueron sometidos a escleroterapia fibroendoscopica. Se consiguio detener la hemorragia en 24 pacientes (82,7%), 17 (58,6%) de los cuales, llevan mas de un ano sin sangrar. Las complicaciones fueron minimas, no habiendo ninguna mayor imputable al metodo.La mortalidad global fue de 8 pacientes (25,8%), siendo en 5 (16,3%) atribuible a recidiva varicosa y en el resto a otras causas.Los autores creen que la esclerosis fibroendoscopica de varices esofagicas es una interesante alternativa para el tratamiento de los episodios hemorragicos provocados por dichas varices, dada la alta mortalidad de la cirugia en la misma eventualidad
Assuntos
Varizes Esofágicas e Gástricas , Soluções EsclerosantesRESUMO
In a 32 months period, 31 patients having esophageal varices, 29 of which were with an acute episode of digestive hemorrhage coming from those varices, had undergone fiberendoscopic sclerotherapy. The hemorrhage stopped in 24 patients (82,7
), 17 (58,6
) of which are over one year without bleeding. Complications were minimal, not having major complication imputable to the method. Global mortality was from 8 patients (25,8
) being in 5 (16,3
) attributable to a varicose returning, and in the rest, to other causes. The authors believe that fiberendoscopic sclerosis of esophageal varices is an interesting alternative for the treatment of the bleeding episodes provoked by those varices, because of the high mortality of the surgery in the same eventuality.
RESUMO
En un periodo de 32 meses, 31 pacientes portadores de varices esofagicas, de los cuales 29 se encontraban con un episodio agudo de hemorragia digestiva proveniente de dichas varices, fueron sometidos a escleroterapia fibroendoscopica. Se consiguio detener la hemorragia en 24 pacientes (82,7%), 17 (58,6%) de los cuales, llevan mas de un ano sin sangrar. Las complicaciones fueron minimas, no habiendo ninguna mayor imputable al metodo.La mortalidad global fue de 8 pacientes (25,8%), siendo en 5 (16,3%) atribuible a recidiva varicosa y en el resto a otras causas.Los autores creen que la esclerosis fibroendoscopica de varices esofagicas es una interesante alternativa para el tratamiento de los episodios hemorragicos provocados por dichas varices, dada la alta mortalidad de la cirugia en la misma eventualidad