[Emergency treatment of bleeding esophageal varices].
BACKGROUND
The hemorrhage from breakup of the varix esophageal is a dramatic complication of the hypertension of the circle portal, numerous attempts have stayed performed for identify the patients that present taller risk of hemorrhage, to the purpose of to establish the preventive more proper measures to arrive before the first episode of hemorrhage. The treatment of the patient with high pressure portal stays still today extremely controversial, to concern the choice of the more opportune strategies, that for it as concerns the choice of the better moment for effect the single therapies.


METHODS
We have taken 63 patients treatises in urgency for esophageal variceal bleeding in consideration, we of the initial group of the 63 patients have subjected endoscopic 34 patients, subjected elastic binding of the varix 20 patients, and to derivative interventions in urgency 9 patients.


RESULTS
The results to distance after surgical treatment for it as concern the rise of encephalopatia it show a percentage of the 60% of patient and the actuarial survival to 5 ages is of the 33.3%.


CONCLUSIONS
In conclusion seem us of power affirm that the role of the endoscopic of the esophageal varix is prominent in the management of massive acute esophageal bleeding.
Gazzanelli
S
S
I Divisione di Patologia Speciale Chirurgica, Policlinico Umberto I, Università La Sapienza, Rome, Italy.
Fiori
E
E
Di Giulio
E
E
Sammartino
F
F
Galati
G
G
Piat
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged