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门诊内镜下食管静脉曲张注射硬化治疗

Outpatient endoscopic injection sclerosis of esophageal varices.

作者信息

Drell E, Prindiville T, Trudeau W

出版信息

Gastrointest Endosc. 1986 Feb;32(1):4-6. doi: 10.1016/s0016-5107(86)71718-5.

DOI:10.1016/s0016-5107(86)71718-5
PMID:3949132
Abstract

We report our experience with outpatient endoscopic injection sclerosis (EIS). Fourteen patients receiving elective in patient EIS (30 patient sessions) were compared to 34 patients having elective outpatient EIS (133 patient sessions). The majority of the patients had Child's C alcoholic liver disease. There were two major complications in the 14 inpatients receiving elective EIS, one severe hemorrhage and one death, for a complication rate of 14%. There were no minor complications in this group. In the 34 patients undergoing outpatient EIS there was one major complication for a complication rate of 2.9% (bleeding) and no deaths. Minor complications in the outpatient group included chest pain in 9.0%, dysphagia without stricture in 6.0%, severe ulceration precluding EIS in 21.0%, and stricture of esophagus in 24.0%. The average cost for inpatient EIS was +1183.00 and for outpatient EIS, +339.00.

摘要

我们报告了我们在门诊内镜注射硬化术(EIS)方面的经验。将14例接受择期住院EIS的患者(30个患者疗程)与34例接受择期门诊EIS的患者(133个患者疗程)进行了比较。大多数患者患有Child's C级酒精性肝病。14例接受择期EIS的住院患者中有2例主要并发症,1例严重出血和1例死亡,并发症发生率为14%。该组无轻微并发症。在34例接受门诊EIS的患者中,有1例主要并发症,并发症发生率为2.9%(出血),无死亡病例。门诊组的轻微并发症包括胸痛9.0%、无狭窄的吞咽困难6.0%、严重溃疡导致无法进行EIS 21.0%以及食管狭窄24.0%。住院EIS的平均费用为1183.00美元,门诊EIS的平均费用为339.00美元。

相似文献

1
Outpatient endoscopic injection sclerosis of esophageal varices.门诊内镜下食管静脉曲张注射硬化治疗
Gastrointest Endosc. 1986 Feb;32(1):4-6. doi: 10.1016/s0016-5107(86)71718-5.
2
Outpatient esophageal variceal sclerotherapy: safe and cost-effective. A prospective study.门诊食管静脉曲张硬化疗法:安全且具有成本效益。一项前瞻性研究。
Gastrointest Endosc. 1986 Feb;32(1):1-3. doi: 10.1016/s0016-5107(86)71717-3.
3
Effects of sodium tetradecyl sulfate endoscopic variceal sclerotherapy on the esophagus. A prospective clinical and histopathologic study.十四烷基硫酸钠内镜下静脉曲张硬化疗法对食管的影响。一项前瞻性临床和组织病理学研究。
J Clin Gastroenterol. 1987 Dec;9(6):635-43. doi: 10.1097/00004836-198712000-00006.
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Delayed perforation of the esophagus after variceal sclerotherapy and hepatic transplantation.
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Studies in sclerotherapy: I. Comparison of sodium tetradecyl sulphate (STS) with absolute alcohol (AA) as sclerosants in the treatment of esophageal varices.硬化疗法研究:I. 十四烷基硫酸钠(STS)与无水乙醇(AA)作为硬化剂治疗食管静脉曲张的比较。
J Clin Gastroenterol. 1990 Aug;12(4):378-80.
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Prevention of stricture formation after endoscopic sclerotherapy of esophageal varices.食管静脉曲张内镜硬化治疗后预防狭窄形成
Gastrointest Endosc. 1989 Sep-Oct;35(5):377-80. doi: 10.1016/s0016-5107(89)72838-8.
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Endoscopic sclerotherapy for bleeding esophageal varices secondary to extrahepatic portal vein obstruction.
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A Prospective Study of Endoscopic Injection Sclerotherapy and Endoscopic Variceal Ligation in the Treatment of Esophageal Varices.内镜注射硬化疗法与内镜下静脉曲张结扎术治疗食管静脉曲张的前瞻性研究
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引用本文的文献

1
Sclerotherapy of esophageal varices by consecutive injection of anhydrous ethanol: 1% polydocanol and thrombin.通过连续注射无水乙醇、1%聚多卡醇和凝血酶对食管静脉曲张进行硬化治疗。
Surg Endosc. 1987;1(1):29-32. doi: 10.1007/BF00703084.