Segal E G, Rosales C D, Segal J E
Acta Gastroenterol Latinoam. 1981;11(3):345-9.
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.
在32个月的时间里,31例患有食管静脉曲张的患者接受了纤维内镜硬化治疗,其中29例出现了由这些静脉曲张引起的急性消化出血。24例患者(82.7%)出血停止,其中17例(58.6%)在一年以上未再出血。并发症极少,没有可归因于该方法的重大并发症。总死亡率为8例患者(25.8%),其中5例(16.3%)归因于静脉曲张复发,其余归因于其他原因。作者认为,由于在相同情况下手术死亡率高,纤维内镜下食管静脉曲张硬化术是治疗由这些静脉曲张引起的出血发作的一种有趣的替代方法。