Long-term follow-up of gastric variceal sclerotherapy: an eleven-year experience☆,☆☆,★
Section snippets
Patients and Methods
Patients who met the specific criteria underwent gastric variceal sclerotherapy. Inclusion criteria—two groups of patients were included: (1) patients with active gastric variceal bleeding or a past history of gastric variceal bleeding, or (2) patients with lesser curve varices (GOV1) that persisted for more than 6 months after esophageal variceal obliteration, i.e., prophylactic gastric variceal sclerotherapy. Exclusion criteria—all patients received gastric variceal sclerotherapy unless they
Results
Results of gastric variceal sclerotherapy in patients with different types of gastric varices are analyzed separately. Fifty-three of the 71 (74.6%) patients had a history of gastric variceal bleed. Eighteen patients, all belonging to the GOV1 category, underwent prophylactic gastric variceal sclerotherapy.
Discussion
This is probably the first study on the long-term results of gastric variceal sclerotherapy. The results clearly show that sclerotherapy is a useful technique for the control of acute gastric variceal bleeding. It was also found to be quite effective in achieving gastric variceal obliteration. Unlike esophageal varices, recurrence of gastric varices after the initial obliteration was not seen during a mean follow-up of more than 2 years (Table 4).
Active gastric variceal bleeding could be
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Cited by (0)
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From the Department of Gastroenterology, G.B. Pant Hospital, New Delhi, India.
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Reprint requests: S.K. Sarin, MD, DM, Gastroenterology, G.B. Pant Hospital, New Delhi 110 002, India.
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