Eradication of oesophageal varices recurring after portal non‐decompressive surgery by injection sclerotherapy

Makoto Hashizume, S. Kitano, H. Yamaga, H. Wada, K. Sugimachi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The results of injection sclerotherapy for oesophageal varices which recurred after portal non‐decompressive surgery were analysed retrospectively to evaluate its efficacy. We treated 60 consecutive patients with portal hypertension; 19 were treated on an emergency basis, seven electively and 34 on a prophylactic basis. All acute bleeding was controlled with one session of sclerotherapy using a transparent overtube. After eradication by sclerotherapy, no bleeding episodes occurred and there was no recurrence of the varices, except in three uncompliant patients, during a mean follow‐up period of 33·1 months. Bleeding from a gastric ulcer and gastritis occurred in one patient each. Oesophageal stenosis occurred in nine (15 per cent) patients and gastric varices developed in two (3 per cent) patients. Twelve patients died, Jive from liver failure and six with hepatoma, but there was no bleeding from the gastrointestinal tract. The overall 4‐year survival rate was 80 per cent. We recommend the use of sclerotherapy as the primary treatment for recurrent oesophageal varices.

Original languageEnglish
Pages (from-to)940-943
Number of pages4
JournalBritish Journal of Surgery
Volume77
Issue number8
DOIs
Publication statusPublished - Jan 1 1990

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Sclerotherapy
Esophageal and Gastric Varices
Injections
Hemorrhage
Esophageal Stenosis
Liver Failure
Varicose Veins
Portal Hypertension
Gastritis
Stomach Ulcer
Gastrointestinal Tract
Hepatocellular Carcinoma
Emergencies
Survival Rate
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Eradication of oesophageal varices recurring after portal non‐decompressive surgery by injection sclerotherapy. / Hashizume, Makoto; Kitano, S.; Yamaga, H.; Wada, H.; Sugimachi, K.

In: British Journal of Surgery, Vol. 77, No. 8, 01.01.1990, p. 940-943.

Research output: Contribution to journalArticle

Hashizume, Makoto ; Kitano, S. ; Yamaga, H. ; Wada, H. ; Sugimachi, K. / Eradication of oesophageal varices recurring after portal non‐decompressive surgery by injection sclerotherapy. In: British Journal of Surgery. 1990 ; Vol. 77, No. 8. pp. 940-943.
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