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RISS 인기검색어
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- 저자 : ( Mamdouh Gabr ) (검색결과 1 건)
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Free Paper Session : Liver 2 ; Management Of Bleeding Anorectal Varices In cirrhosis
( Mamdouh Gabr ) 대한소화기학회 2007 SIDDS Vol.9 No.-
Background/Aims: Bleeding from anorectal varices (AVR) is a rare complication of portal hypertension in crirrhosis. Though rare, yet it`s usually massive and life threatening. No agreement has been reached on which could be the optimal therapeutic strategy for bleeding AVR. Therefore, this study was conducted to evaluate the efficacy and safety of endoscopic band ligation (EBL) in the treatment of 12 patients with lower gastrointestinal bleeding from ruptured AVR. Methods: Emergency colonoscopy was done within 24 hours of admission to confirm the diagnosis and thereafter EBL was done with a pneumatic band ligation device. A follow-up endoscopy was done one week after the initial haemostatic procedure searching for any complications. Results: Successful haemostasis was achieved in all patients (100%). The only complication observed was a clean base shallow post EBL ulcers in 6 patients (50%). Recurrent bleeding was observed in 2 patients (16.6%). Conclusions: The experience reported in the present study confirms the efficacy and safety of this haemostatic modality in the treatment of this rare and frequently fatal cause of lower gastrointestinal hemorrhage.
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