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[Endoscopic sclerotherapy of esophageal varices with 80% alcohol. Experience with 46 cases]. / Escleroterapia endoscópica de las várices esofágicas con alcohol al 80%. Experiencia en 46 casos.
Guzmán, S J; Vetencourt, R; Suárez, A; Pifano, F.
Afiliação
  • Guzmán SJ; Servicio de Vías Digestivas, Hospital Central Antonio María Pineda, Barquisimeto Edo. Lara.
G E N ; 43(3): 149-54, 1989.
Article em Es | MEDLINE | ID: mdl-2535556
We are presenting the results obtained by endoscopic sclerotherapy with 80% alcohol in fifty-five patients with upper GI bleeding caused by esophageal varices, with or without active bleeding at the moment of the endoscopic study. We obtained control of bleeding in 83.64% with a recurrence of bleeding of 16.36% during the first 15 days. At the same period of time we obtained a 16.36% mortality rate. In the forty six patients that concluded sclerotherapy, decrease in size of the varices occurred in 89.79% and eradication was obtained in 6.11% of the patients. We observed three types of complications: esophageal ulcers in 100% of the cases which healed in a period of three weeks. Retrosternal pain of short duration, in 45.65%, this pain appears when the sclerosant substance is injected. Esophageal stenosis in 5.45% which were treated with dilatations. Our conclusion is that 80% alcohol is an effective and safe sclerosant substance in the management of acute bleeding of esophageal varices and in the prevention of the immediate recurrence, but has the disadvantage of a great number of local complications.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Varizes Esofágicas e Gástricas / Escleroterapia / Etanol / Hemorragia Gastrointestinal Tipo de estudo: Observational_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male Idioma: Es Revista: G E N Ano de publicação: 1989 Tipo de documento: Article País de publicação: Venezuela
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Varizes Esofágicas e Gástricas / Escleroterapia / Etanol / Hemorragia Gastrointestinal Tipo de estudo: Observational_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male Idioma: Es Revista: G E N Ano de publicação: 1989 Tipo de documento: Article País de publicação: Venezuela