COMPARISON OF CONSERVATIVE AND MIMIMALLY INVASIVE APPROACHES TO TREATMENT OF PATIENTS WITH ESOPHAGEAL VARICEAL BLEEDING
EAES Academy. Petrushenko V. 07/05/22; 363157; P202
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Abstract
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The aim of the study was to compare of the results of conservative and minimally invasive treatment of patients with esophageal varices bleeding.
Methods. The study included 281 patients with esophageal varices bleeding. Total number of men – 159 (56.58%), women – 122 (43.41%). The average age of patients was 58,1±4,9 years. The source of bleeding was identified during endoscopy. All patients received drug therapy – non-selective beta-blockers, hemostatic, antisecretory, infusion, symptomatic. Patients of group 1 (n=195) received just drug therapy. Patients of group 2 (n=86) received minimally invasive endoscopic surgical interventions such as endoscopic band ligation of bleeding esophageal varices. Subsequently, to reduce portal hypertension the splenic artery embolization was performed to patients with high risk of rebleeding.
Results:
The average age of patients in group 1 was 57.0±4.3 years. Using just drug therapy we have stopped bleeding in 152 (77.95%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 43 patients (22.05%) were died. Duration of treatment was 10.2±2.1 days.
The average age of patients in group 2 was 58.1±5.7 years. Performing of endoscopic band ligation we have stopped bleeding in 76 (88.37%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 10 patients (11.63%) were died. Splenic artery embolization was performed to 35 (40.69%) patients. Duration of treatment was 6.7±2.8 days.
Conclusion:
Under the condition of esophageal varices bleeding treatment by performing the combination of endoscopic and endovascular treatment in comparison with only drug therapy we can see the improvement of patient’s condition, decreasing of mortality and duration of treatment.
Methods. The study included 281 patients with esophageal varices bleeding. Total number of men – 159 (56.58%), women – 122 (43.41%). The average age of patients was 58,1±4,9 years. The source of bleeding was identified during endoscopy. All patients received drug therapy – non-selective beta-blockers, hemostatic, antisecretory, infusion, symptomatic. Patients of group 1 (n=195) received just drug therapy. Patients of group 2 (n=86) received minimally invasive endoscopic surgical interventions such as endoscopic band ligation of bleeding esophageal varices. Subsequently, to reduce portal hypertension the splenic artery embolization was performed to patients with high risk of rebleeding.
Results:
The average age of patients in group 1 was 57.0±4.3 years. Using just drug therapy we have stopped bleeding in 152 (77.95%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 43 patients (22.05%) were died. Duration of treatment was 10.2±2.1 days.
The average age of patients in group 2 was 58.1±5.7 years. Performing of endoscopic band ligation we have stopped bleeding in 76 (88.37%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 10 patients (11.63%) were died. Splenic artery embolization was performed to 35 (40.69%) patients. Duration of treatment was 6.7±2.8 days.
Conclusion:
Under the condition of esophageal varices bleeding treatment by performing the combination of endoscopic and endovascular treatment in comparison with only drug therapy we can see the improvement of patient’s condition, decreasing of mortality and duration of treatment.
The aim of the study was to compare of the results of conservative and minimally invasive treatment of patients with esophageal varices bleeding.
Methods. The study included 281 patients with esophageal varices bleeding. Total number of men – 159 (56.58%), women – 122 (43.41%). The average age of patients was 58,1±4,9 years. The source of bleeding was identified during endoscopy. All patients received drug therapy – non-selective beta-blockers, hemostatic, antisecretory, infusion, symptomatic. Patients of group 1 (n=195) received just drug therapy. Patients of group 2 (n=86) received minimally invasive endoscopic surgical interventions such as endoscopic band ligation of bleeding esophageal varices. Subsequently, to reduce portal hypertension the splenic artery embolization was performed to patients with high risk of rebleeding.
Results:
The average age of patients in group 1 was 57.0±4.3 years. Using just drug therapy we have stopped bleeding in 152 (77.95%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 43 patients (22.05%) were died. Duration of treatment was 10.2±2.1 days.
The average age of patients in group 2 was 58.1±5.7 years. Performing of endoscopic band ligation we have stopped bleeding in 76 (88.37%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 10 patients (11.63%) were died. Splenic artery embolization was performed to 35 (40.69%) patients. Duration of treatment was 6.7±2.8 days.
Conclusion:
Under the condition of esophageal varices bleeding treatment by performing the combination of endoscopic and endovascular treatment in comparison with only drug therapy we can see the improvement of patient’s condition, decreasing of mortality and duration of treatment.
Methods. The study included 281 patients with esophageal varices bleeding. Total number of men – 159 (56.58%), women – 122 (43.41%). The average age of patients was 58,1±4,9 years. The source of bleeding was identified during endoscopy. All patients received drug therapy – non-selective beta-blockers, hemostatic, antisecretory, infusion, symptomatic. Patients of group 1 (n=195) received just drug therapy. Patients of group 2 (n=86) received minimally invasive endoscopic surgical interventions such as endoscopic band ligation of bleeding esophageal varices. Subsequently, to reduce portal hypertension the splenic artery embolization was performed to patients with high risk of rebleeding.
Results:
The average age of patients in group 1 was 57.0±4.3 years. Using just drug therapy we have stopped bleeding in 152 (77.95%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 43 patients (22.05%) were died. Duration of treatment was 10.2±2.1 days.
The average age of patients in group 2 was 58.1±5.7 years. Performing of endoscopic band ligation we have stopped bleeding in 76 (88.37%) cases. In all cases at the end of treatment we received improvement of clinical and laboratory indices. 10 patients (11.63%) were died. Splenic artery embolization was performed to 35 (40.69%) patients. Duration of treatment was 6.7±2.8 days.
Conclusion:
Under the condition of esophageal varices bleeding treatment by performing the combination of endoscopic and endovascular treatment in comparison with only drug therapy we can see the improvement of patient’s condition, decreasing of mortality and duration of treatment.
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