González Eduardo J, Rivera-Acosta José E, Sánchez José M, Romero Carlos, Meléndez Marytere, Pérez Cynthia, Torres Esther A
Division of Gastroenterology, Department of Medicine, University of Puerto Rico School of Medicine, San Juan, PR.
Bol Asoc Med P R. 2011 Jan-Mar;103(1):5-8.
Esophageal variceal bleeding is a frequent complication in patients with chronic liver disease. There is no published study that evaluates the management of this complication in Puerto Rico. Our study describes the management of patients with esophageal varices admitted to the emergency room of the Puerto Rico Medical Center from January 2002 to December 2004. Seventy-four patients were included, 50% of which presented stigmata of recent bleeding from esophageal varices. In patients who presented stigmata of recent esophageal variceal bleeding, larger varices were identified (65% vs. 27% p = 0.002). Significant bleeding and banding of esophageal varices was most common in patients with stigmata of recent bleed. Octreotide infusion and prophylactic antibiotics were received by the vast majority. The management of esophageal variceal bleeding in our institution is compliant with the American Association for the Study of Liver Diseases guidelines.
食管静脉曲张破裂出血是慢性肝病患者常见的并发症。在波多黎各，尚无已发表的研究评估该并发症的治疗情况。我们的研究描述了2002年1月至2004年12月期间入住波多黎各医疗中心急诊室的食管静脉曲张患者的治疗情况。共纳入74例患者，其中50%出现近期食管静脉曲张破裂出血的迹象。在出现近期食管静脉曲张破裂出血迹象的患者中，发现较大的静脉曲张（65%对27%，p = 0.002）。近期出血迹象的患者中，食管静脉曲张大量出血和套扎最为常见。绝大多数患者接受了奥曲肽输注和预防性抗生素治疗。我们机构对食管静脉曲张破裂出血的治疗符合美国肝病研究协会的指南。
