Long-term outcome after endoscopic ligation of acute esophageal variceal bleeding in patients with liver cirrhosis
|Journal||Volume 83 - 2020|
|Issue||Fasc.3 - Original articles|
|Author(s)||A.A. Salman 1, H. E.-D. Shaaban 2, M. Atallah 2, M. Yousef 3, R. A. Ahmed 1, O. Ashoush 1, M. Tourky 4, M. A Nafea 5, M.H. Elshafey 5, M. El-Ghobary 1|
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(1) Internal Medicine Department, Faculty of medicine, Cairo University, 11311 Cairo, Egypt
(2) National Hepatology and Tropical Medicine Research Institute
(3) Tropical Medicine Department, Faculty of medicine, Cairo University, Egypt ;
(4) General surgery senior registrar, Alawi Tunsi, Saudi Arabia
(5) General Surgery Department, Faculty of medicine, Al-Azhar University, Egypt.
Endoscopic variceal ligation (EVL) has been the standard treatment for acute variceal bleeding (AVB). However, reports of long-term prognosis after EVL are scarce. Therefore, the current work aimed to investigate the long-term outcome and prognostic modifiers of cirrhotic cases presented with acute esophageal variceal bleeding and managed with EVL. The current prospective work comprised primarily 276 consecutive grown-up cirrhotic cases presenting with AVB and managed with EVL. Two-hundred patients who completed the study till death or 3-year follow-up were enrolled in final analysis. The primary outcome measure was occurrence of rebleeding and all-cause mortality.
Keywords: endoscopic ligation, variceal bleeding, liver cirrhosis.
© Acta Gastro-Enterologica Belgica.