Abstract
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.
| Translated title of the contribution | Emergency endoscopic sclerosis in active hemorrhage caused by esophageal varices: analysis of 31 cases |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 357-359 |
| Number of pages | 3 |
| Journal | Revista Clinica Espanola |
| Volume | 184 |
| Issue number | 7 |
| State | Published - Apr 1989 |