[Emergency endoscopic sclerosis in active hemorrhage caused by esophageal varices: analysis of 31 cases].
We have reviewed our experience in urgent endoscopic sclerosis of bleeding esophageal veins in most patients (67.7%) secondary to alcoholic liver cirrhosis. Through the flexible gastroscope, 1% of polydocanol was injected intra and periveinaly for sclerosis. Initial and primary hemostasis was achieved in 90.3% and 87% of the cases respectively. Hemorrhage recurred in 14.2% of the patients. Hospital mortality was 38.7% (11 patients classified in Childs group C and 1 patient in group B), although only 19.3% of the patients died because of esophageal vein bleeding. These results suggest that in a satisfactory percentage of cases urgent sclerosis of esophageal veins controls active bleeding, and the hospital mortality depends mainly on the severeness of liver failure in these patients.
Boix
J
J
Planas
R
R
Llorente
C
C
Casals
A
A
Romeu
J
J
de León
R
R
Humbert
P
P
D000328:Adult; D000368:Aged; D004632:Emergency Medical Services; D004932:Esophageal and Gastric Varices / Q000150:complications*; D004945:Esophagoscopy; D005069:Evaluation Studies as Topic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012597:Sclerosing Solutions / Q000008:administration & dosage / Q000627:therapeutic use*; D013030:Spain
D012597:Sclerosing Solutions
Esclerosis endoscópica urgente en la hemorragia activa por varices esofágicas: análisis de 31 casos.