Sclerotherapy of bleeding esophageal varices. Long-term results.
Sixty-one patients presenting with hemorrhage from esophageal varices were treated with sclerotherapy by means of a fiberoptic endoscope. Twenty-nine had acute bleeding, which was stopped in 90%. Thirty-two were treated after recent bleeding. The hospital mortality was 31%. Re-bleeding occurred in 55% of those discharged but was easily controlled. Fatal complications occurred in 5%. The calculated 4-year survival was 35%. Two thirds of this mortality could be attributed to liver failure. The intellectual function of the patients appeared to be unaffected.
D000328:Adult; D000368:Aged; D004932:Esophageal and Gastric Varices / Q000188:drug therapy* / Q000401:mortality; D004945:Esophagoscopy; D005069:Evaluation Studies as Topic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy / Q000401:mortality; D006487:Hemostasis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012597:Sclerosing Solutions / Q000009:adverse effects / Q000627:therapeutic use*
D012597:Sclerosing Solutions