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식도정맥류 결찰요법에 있어서 첫시술의결찰수와 정맥류 절성적
김 경 민,이 상 우,현 진 해 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.2
Background/Aims: Eradication of esophagogastric varix is the most important goal of endoscopic variceal treatment. However, the effect of initial ligation numbers with endo-scopic variceal ligation has not been widely studied. The purpose of this retrospective study was to evaluate the effect of initial ligation numbers on the eradication of esophageal varix. Methods: The mean number of sessions to variceal eradication was compared according to initial ligation numbers, and varix grade by the North Italian Endoscopy Club, and the Child-Pugh class in 212 patients. Initial ligation numbers were divided into three groups; more than 11, 6 ∼10, and fewer than 5. Results: Except with grade I, esophageal varix was eradicated earlier in the two groups of more than 6 ligations (p <0.01). The mean number of sessions in the group of more than 11 ligations was significantly different from that of the group of 6 ∼10 ligations in grade II patients (p <0.05). The mean number of sessions was not significantly different compared by the Child-Pugh class. Conclusion: It is suggested that patients with more initial ligation numbers may result in earlier eradication of esophageal varix with endoscopic ligation.
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