title: [Clinical analysis of early esophageal varices bleeding after endoscopic varices ligation in advanced schistosomiasis patients].
abstract: OBJECTIVE
  To study the clinical characteristics of early esophageal varices bleeding after endoscopic varices ligation (EVL) in advanced schistosomiasis patients.
  
  
  METHODS
  The data of 206 advanced schistosomiasis patients who received VEL were collected and studied retrospectively.
  
  
  RESULTS
  There were 17 cases of early esophageal varices bleeding after EVL including 1 died case, the early hemorrhage rate was 8.25%, and the mortality rate was 0.5%. The early bleeding occurred from the 4th to 12th day, and 76% occurred from the 7th to 9th day postoperatively. The direct cause of hemorrhagic was ligation ring falling off, and the inducements were the improper diet (10 cases, 58.8%) and increased abdominal pressure (6 cases, 35%). All the cases of early esophageal varices bleeding occurred in the patients whose liver function being Child-Pugh C.
  
  
  CONCLUSIONS
  The incidence and mortality of EVL early postoperative hemorrhage are both low, and mostly occur from the 7th to 9th day postoperatively. We should pay attention to the diet and nursing, and the patients with Child-Pugh C liver function are the high risk group.
authors.forename: Lie-Qnan
authors.initials: LQ
authors.lastname: Liu
authors.forename: Jun
authors.initials: J
authors.lastname: Zhang
authors.forename: Yue-Xiao
authors.initials: YX
authors.lastname: Tian
authors.forename: Heng
authors.initials: H
authors.lastname: Hu
authors.forename: Gang
authors.initials: G
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012552:Schistosomiasis / Q000150:complications* / Q000473:pathology; D055815:Young Adult