Progress in Endoscopic and Interventional Treatment of Esophagogastric Variceal Bleeding

Liu, Bin; Li, Gang

doi:10.1155/2022/2940578

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…No serious complications, including ectopic embolism or perforation, occurred in either group. Compared with previous studies, the improvement in the rebleeding rate in this study may be related to the regular use of PPIs in all patients and regular follow-up followed by re-treatment or multiple treatments [31].…”

Section: Discussionmentioning

confidence: 66%

A Retrospective Analysis of the Efficacy of Endoscopic Variceal Ligation versus Endoscopic Tissue Adhesive Injection in the Treatment of Esophagogastric Variceal Bleeding

Liu

Xing

et al. 2022

Dig Dis

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Background: To investigate the effectiveness and safety of endoscopic variceal ligation and endoscopic tissue adhesive injection in the treatment of esophagogastric variceal bleeding. Methods: A total of 245 patients with EVB who attended the First Affiliated Hospital of Bengbu Medical College from December 2017 to June 2021 were retrospectively collected. The participants were divided into the esophageal EVL(E-EVL) + gastric EVL(G-EVL) group (n = 103) and E-EVL + gastric TAI(G-TAI) group (n = 142), according to the procedure, comparing and assessing the clinical characteristics, laboratory results, operation time, rebleeding rate, efficacy and complications. Results: The E-EVL+G-EVL group had significantly less varicose vein diameter and operative time than the E-EVL+G-TAI group (p < 0.05). No statistical difference in the length of hospital stay between the two groups was noted (p > 0.05). The total rebleeding rate in the E-EVL+G-EVL group was 9.7%, whereas that of the E-EVL+G-TAI group was 11.9%; no statistical difference between the two groups was noted (p > 0.05). The overall effective rate of the E-EVL+G-EVL group was 90.21%, whereas that of the E-EVL+G-TAI group was 92.81%; no statistical difference between the two groups was observed (p > 0.05). The postoperative ulcer in the E-EVL+G-EVL group was smaller and more superficial than that in the E-EVL+G-TAI group, the wound surface was smoother. Conclusion: Both EVL and TAI have good therapeutic effects on EVB. Furthermore, owing to its effectiveness in preventing rebleeding, no reduction in efficacy and no increase in complications, shortened operative time, smaller and superficial ulcer and smoother wounds, gastric EVL is worthy of further clinical promotion.

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Section: Discussionmentioning

confidence: 66%

A Retrospective Analysis of the Efficacy of Endoscopic Variceal Ligation versus Endoscopic Tissue Adhesive Injection in the Treatment of Esophagogastric Variceal Bleeding

Liu

Xing

et al. 2022

Dig Dis

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“…Endoscopy and intervention or their combined application is the mainstream treatment modes in clinical practice. [ 2 ] Active variceal bleeding (AVB) is a medical emergency that requires swift intervention to stop the bleeding and achieve durable hemostasis. The bleeding time is one of the important factors that affecting the prognosis of patients with massive bleeding.…”

Section: Introductionmentioning

confidence: 99%

General anesthesia in patients with hepatic encephalopathy and acute variceal bleeding undergoing endoscopic treatment: A retrospective study

Chen,

Wen,

Zhong

et al. 2023

Medicine

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The management of cirrhotic patient with encephalopathy and acute variceal bleeding (AVB) remains a clinical challenge with a high mortality. Early endoscopic therapies are frequently applied in patients with AVB. However, the application of general anesthesia in endoscopic surgery for patients with hepatic encephalopathy (HE) is pretty challenging. The present study aimed to evaluate the possible effect of general anesthesia with tracheal intubation on patient complicated with encephalopathy and AVB during endoscopic procedure. Thirty-six cirrhotic patients with encephalopathy and AVB were retrospectively studied, 14 patients underwent endoscopic treatment under general anesthesia with tracheal intubation, and 22 patients received pharmacological treatment, or and endoscopic therapy without general anesthesia served as the control group. Routine clinical and laboratory data were collected. The total mortality rate was 13.9% (5/36), 2 (14.3%) in the anesthesia group, 3 (13.6%) in the control group. The child-Pugh class of death cases were all grade C, 3 (60%) of them were in the stage IV of HE. The stage of HE was all improved in the 2 groups, 12 (85.8 %) patients were totally recovered from consciousness disturbance in the anesthesia group and 16 (72.7 %) in the control group respectively, the difference between the 2 groups was not significant (P>0.05). Except the death cases, there were still 3 patients in the control group had impaired consciousness at discharge. Child-Pugh score, Child-Pugh class and the stage of HE in the anesthesia group were significantly improved at discharge compared with those before operation. General anesthesia does not aggravate the severity of encephalopathy, and endoscopic treatment under general anesthesia with tracheal intubation is effective for HE patients complicated with AVB.

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Evaluation of transjugular intrahepatic portosystemic shunt and modified sclerotherapy in preventing rebleeding of esophageal and gastric varices

Wang

Xie²,

Ji³

et al. 2022

Medical Engineering & Physics

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Progress in Endoscopic and Interventional Treatment of Esophagogastric Variceal Bleeding

Cited by 5 publications

References 49 publications

A Retrospective Analysis of the Efficacy of Endoscopic Variceal Ligation versus Endoscopic Tissue Adhesive Injection in the Treatment of Esophagogastric Variceal Bleeding

A Retrospective Analysis of the Efficacy of Endoscopic Variceal Ligation versus Endoscopic Tissue Adhesive Injection in the Treatment of Esophagogastric Variceal Bleeding

General anesthesia in patients with hepatic encephalopathy and acute variceal bleeding undergoing endoscopic treatment: A retrospective study

Evaluation of transjugular intrahepatic portosystemic shunt and modified sclerotherapy in preventing rebleeding of esophageal and gastric varices

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