作者: K.J. Paquet
关键词: Esophageal varices 、 Cirrhosis 、 Gastroenterology 、 Polidocanol 、 Internal medicine 、 Esophageal Hemorrhage 、 Prospective cohort study 、 Randomized controlled trial 、 Surgery 、 Medicine 、 Varices 、 Sclerotherapy
摘要: From January 1, 1978 to 1980 a controlled randomized trial comparing conservative treatment with prophylactic sclerotherapy of esophageal varices prior hemorrhage was carried out. In all 71 patients liver cirrhosis histologically confirmed. The two randomly assigned groups were comparable. Indications endoscopic the existence III-IV bearing erosions, II-IV without erosions but coagulation factors below 30%, or both. Six left trial. group Ia -- by means high rate variceal bleeding and death observed. Comparing these results those Ib treated sclerotherapy, rates found be highly significantly lower. Thus investigated criteria for predicting recent are Prophylactic in and/or poor reserve can largely prevent an from varices, prolongs life chronically ill patients.