Endoscopic sclerotherapy for bleeding oesophagogastric varices secondary to extrahepatic portal vein obstruction in an adult Caucasian population.

摘要: BACKGROUND The efficacy of endoscopic sclerotherapy for bleeding oesophagogastric varices secondary to extrahepatic portal vein obstruction in adult Caucasian patients is poorly documented. OBJECTIVE To assess the results all with this condition who have been treated and followed our hospital since 1982. DESIGN Prospective cohort study. RESULTS Twenty-one consecutive were included during a mean period 79 months (range 6-162 months). Active bleeding, encountered five patients, was controlled by cases. Two received porto-systemic shunt after initial sclerotherapy. In but one remaining 19 cases resulted eradication varices. risk initiation 0.02 bleed/month/patient, which lower than estimated 0.13 bleed/month/patient prior actuarial rate rebleeding at 5 years due causes 35 28%, respectively. died, both from haematological (pre-) malignancy. Actuarial year survival 95%. CONCLUSION study are agreement findings paediatric Asian patient populations support as primary treatment modality variceal Western thrombosis. Life expectancy determined underlying cause venous obstruction.