Rojman J A, Wulfson A M, Tanno H E
Clínica de Hígado, Rosario, Provincia de Santa Fe, Argentina.
Acta Gastroenterol Latinoam. 1988;18(1):39-42.
We performed endoscopic sclerotherapy of esophageal varices (ESEV) as an outpatient procedure in a private setting in patients with portal hypertension and a least one previous episode of variceal hemorrhage. Twenty-six stable cirrhotic patients (child's class A, 11 patients; class B, 10 patients; class C, 5 patients) underwent 103 outpatient sessions of ESEV. There were two episodes of post-sclerotherapy bleeding (1.9% of total sessions) requiring hospitalisation. Fever (2.9%), dysphagia (6.8%), chest pains (14.6%) and one episode (1%) of respiratory depression due to sedation were also noted, but were managed with simple measures. One of 26 patients developed esophageal stricture. These preliminary results suggest that ESEV can be performed as a relatively safe ambulatory procedure.
我们在门诊环境中对门静脉高压且既往至少有一次静脉曲张出血发作的患者进行了内镜下食管静脉曲张硬化治疗（ESEV）。26例稳定的肝硬化患者（Child's A级11例、B级10例、C级5例）接受了103次门诊ESEV治疗。有2次硬化治疗后出血发作（占总治疗次数的1.9%）需要住院治疗。还观察到发热（2.9%）、吞咽困难（6.8%）、胸痛（14.6%）以及1次因镇静导致的呼吸抑制发作（1%），但均通过简单措施处理。26例患者中有1例出现食管狭窄。这些初步结果表明，ESEV可作为一种相对安全的门诊手术进行。
