Endoscopic diagnosis and therapy for 134 cirrhotic patients with cardiac variceal bleeding
ZHANG Wen-hui
LI Li
HAN Jun
WANG Yan-ling
WANG Xin-zhen
XIANG Lu
LIU Ting-ting
LIU Ying
JIN Bo
LI Han-wei
Abstract：Objective To retrospectively analyze the effect of endoscopic therapy on acute cardiac variceal bleeding in pa-tients with liver cirrhosis. Methods Endoscopic injection sclerotherapy, endoscopic variceal ligation and embolization were used in the management of acute cardiac variceal bleeding in 134 cirrhotic patients. Results Variceal bleeding was controlled in 121 patients ( 90 . 3%) , by endoscopic injection sclerotherapy in 97 patients ( 89 . 8%) and embolization in 23 patients ( 95 . 8%) . Four patients died from hemorrhagic shock, hepatic encephalopathy and multiple organ failure, and the 72-hour mortality was 4.5%. No patient died during endoscopic procedure. Conclusion Endoscopic injection sclerotherapy and embolization can achieve good short-term effects in the management of cardiac variceal bleeding in cirrhotic patients.
Keywords：liver cirrhosisesophageal and gastric varicesgastrointestinal hemorrhageembolizationtherapeutic
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 97-99 )