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https://www.riss.kr/link?id=A3306978
1994
-
500
KCI등재후보
학술저널
151-161(11쪽)
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
Objectives: Endoscopic injection sclerotherapy (EIS) is currently the most widely practiced method for treating and eradicating bleeding esophageal varices in repeated sessions, but may be associated with some undesirable local and systemic complicati...
Objectives: Endoscopic injection sclerotherapy (EIS) is currently the most widely practiced method for treating and eradicating bleeding esophageal varices in repeated sessions, but may be associated with some undesirable local and systemic complications. Endoscopic variceal ligation (EVL), which consists of mechanical ligation and thrombosis of varices using elastic 0-rings, has been recently developed as a non-operative alternative to EIS. Methods: To evaluate the safety and efficacy of EVL for treatment of the acute bleeding esophageal varices, we compared EVL and EIS in 89 patients who had recently bled from esophageal varices. 43 patients were treated with EVL, and 46 with EIS. We assesed the hemostatic efficacy for actively bleeding varices, the recurrences of bleeding, the ablility for eradication of varices, the number and duration of treatments needed to eradicate varices, and the incidence of complications. Results: Initial hemostatic efficacy of EVL for actively bleeding varices did not differ to EIS (90% VS 90.9%). Incidences of rebleeding showed no statistical difference between EVL and EIS (18.6% vs 23.9%). Abilities for eradication of varices showd 83.7% (36 of 43 patients) in EVL and 82.6Fp (83 of 46 patients) in EIS. The number of treatments required to eradicate varices did not differ between EVL and EIS (4.2 vs 3.8 sessions), but EVL achieved variceal eradication more slowly than EIS (44,6 vs 20.8 days) (p<0.01), Complications were less common in EVL than EIS; chest discomfortness (22.S% vs 70.3%), chest pain (1.5% vs 46.8%), fever (1.5% vs 27.9%), transient dysphagia (2.2% vs 18.9%), pleural effusion (1.8% vs 0%). Conclusion: EVL is a safe and effective alternative method to EIS for treatment of bleeding esophageal varices.
위점막내 Helicobacter pylori 검사방법의 상호비교에 관한 연구
조영 경식도 심초음파에 의한 난원공개존 유병율 및 임상적 의의
원인 불명의 실신 환자의 진단에 있어서 Head - up tilt Test 의 유용성과 혈관미주신경성 실신 환자의 임상적 특징