Management of Hemorrhage from Esophageal Varices Using the Esophagoscopic Sclerosing Method

Raschke, E; Paquet, K. T.

doi:10.1097/00000658-197301000-00018

Cited by 28 publications

(3 citation statements)

References 2 publications

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“…Intra-arterial vasopressin was able to control variceal bleeding in 71 % of cases but in 41 % there was rebleeding on stopping the infusion, with a final survival of 47% (Conn et al, 1975). Raschke and Paquet (1973) had a 50% mortality in 12 patients bleeding acutely from varices treated by oesophagoscopic sclerosing therapy, although the therapy had controlled bleeding in all but one patient. Johnston and Rodgers (1973) were able to control bleeding by sclerotherapy in 93 % of admissions in 117 patients with an admission mortality of only 18 %.…”

Section: Discussionmentioning

confidence: 99%

Fibreoptic endoscopy and the use of the Sengstaken tube in acute gastrointestinal haemorrhage in patients with portal hypertension and varices.

Novis¹,

Duys²,

Barbezat³

et al. 1976

Gut

115

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Section: Discussionmentioning

confidence: 99%

Fibreoptic endoscopy and the use of the Sengstaken tube in acute gastrointestinal haemorrhage in patients with portal hypertension and varices.

Novis¹,

Duys²,

Barbezat³

et al. 1976

Gut

115

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“…Although most endoscopists have attempted to inject the varices to induce thrombosis of the veins (5,7-9), we believe that the aim of sclerotherapy is to produce fibrosis of the esophageal wall to support the thin-walled varices and to prevent them from rupturing (10- 12). With this technique, alcoholic or oily substances are injected parivariceally to avoid thrombosis of the varices.…”

mentioning

confidence: 99%

Endoscopic sclerosis and esophageal balloon tamponade in acute hemorrhage from esophagogastric varices: A prospective controlled randomized trial

Paquet¹,

Feußner²

1985

Hepatology

277

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A prospective randomized controlled clinical trial was performed in 43 consecutive histologically proved cirrhotic patients with endoscopically proved actively bleeding esophageal varices. Twenty-two were randomly selected to have esophageal tamponade with the Sengstaken-Blakemore tube, and 21 were selected to have endoscopic sclerosis of the esophageal wall. The two groups were similar in demographic, clinical and laboratory data. Bleeding was controlled by the Sengstaken-Blakemore tube in 16 of 22 patients (73%) and by endoscopic sclerosis in 20 of 21 (95%). Among those controlled by the Sengstaken-Blakemore tube, seven (44%) rebled and three (43%) were again controlled by the Sengstaken-Blakemore tube; in the endoscopic sclerosis group, four (20%) rebled and three (75%) were controlled. Thus, hemorrhage was definitively controlled in 52% of patients and 66% of bleeding episodes in the Sengstaken-Blakemore tube group and in 90% of patients and 92% of bleeding episodes in the endoscopic sclerosis group. The definite control of hemorrhage was significantly better in the endoscopic sclerosis group (p less than 0.01). The Sengstaken-Blakemore tube patients received no definitive therapy after bleeding had been controlled. Within 30 days, six patients (27%) in the Sengstaken-Blakemore tube group had died compared to 2 (10%) in the endoscopic sclerosis group which is statistically significant (p less than 0.01) in favor of endoscopic sclerosis. The frequency of complications was similar in the two groups. Endoscopic sclerosis patients received serial endoscopic sclerosis after bleeding had been stopped during the whole period of follow-up.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…Zu Recht wird als Therapie der ersten Wahl nach aufgetretener Oesophagusvaricenblutung ± meist im Alter von 6±10 Jahren ± die Sklerosierungstherapie beschrieben. Unsere Arbeitsgruppe hat sich seit 1972 zunächst in Europa, später in der ganzen Welt für den Einsatz dieses wenig invasiven Verfahrens eingesetzt [4,5,8…”

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Diskussion und Briefe an die Herausgeber

1999

Chirurg

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Die Darstellung eines Falles des Einsatzes eines mesentericoportalen Rex-Shunts, erstmalig von De Ville de Goyet [1] 1992 beschrieben, macht deutlich, daû durch den Einsatz eines innovativen operativen Verfahrens in Einzelfällen eine kurative Behandlung von Kindern mit prähepatischem Block möglich ist und die bei den als Alternativverfahren zur Verfügung stehenden Warren-und englumigem mesocavalen Shunts allerdings sehr selten auftretende Encephalopathie vermieden werden kann [3].

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Management of Hemorrhage from Esophageal Varices Using the Esophagoscopic Sclerosing Method

Cited by 28 publications

References 2 publications

Fibreoptic endoscopy and the use of the Sengstaken tube in acute gastrointestinal haemorrhage in patients with portal hypertension and varices.

Fibreoptic endoscopy and the use of the Sengstaken tube in acute gastrointestinal haemorrhage in patients with portal hypertension and varices.

Endoscopic sclerosis and esophageal balloon tamponade in acute hemorrhage from esophagogastric varices: A prospective controlled randomized trial

Diskussion und Briefe an die Herausgeber

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