[内镜下食管静脉曲张套扎术预防食管静脉曲张再出血的部位。关于102例病例的前瞻性研究]

[Place of endoscopic variceal ligation for the prophylaxis of rebleeding from oesophageal varices. Prospective study about 102 cases].

作者信息

Bouzaïdi Slim, Ben Hammouda Imeddeddine, Ben Yedder Jamel, Ben Salem Maher, Jemaa Yassine, Trabelsi Senda, Moussa Amel, Debbech Radhouane, Salem Mohamed, Najjar Taoufik

机构信息

Service de gastro-entérologie, Hôpital Charles Nicolle, Tunis.

出版信息

Tunis Med. 2004 Jun;82(6):531-7.

PMID:15517952

Abstract

The aim of this study was to assess the efficacy and morbidity of endoscopic variceal ligation for the prophylaxis of rebleeding from oesophageal varices. This work is a prospective study including 102 patients having had at least one episode of variceal bleeding. The mean age is 52.5 years. Oesophageal varices were eradicated in 83.3% of cases after an average of 3.5 sessions. Recurrence of oesophageal varices after eradication was observed in 22% after an average follow-up of 7 months. 10 patients died before eradication of oesophageal varices from causes unrelated to the technique. The endoscopic variceal ligation is effective for eradication of oesophageal varices, with a low morbidity. This technique appears to be a method of choice in the prophylaxis of rebleeding from oesophageal varices.

摘要

本研究的目的是评估内镜下静脉曲张结扎术预防食管静脉曲张再出血的疗效和并发症。这项工作是一项前瞻性研究，纳入了102例至少有一次静脉曲张出血发作的患者。平均年龄为52.5岁。平均3.5次治疗后，83.3%的病例食管静脉曲张得以根除。平均随访7个月后，根除后食管静脉曲张复发率为22%。10例患者在食管静脉曲张根除前因与该技术无关的原因死亡。内镜下静脉曲张结扎术对根除食管静脉曲张有效，并发症发生率低。该技术似乎是预防食管静脉曲张再出血的首选方法。