PMID: 7025770Oct 1, 1981Paper

Acute bleeding varices: a five-year prospective evaluation of tamponade and sclerotherapy

Annals of Surgery
J TerblancheR E Kirsch

Abstract

In a five-year study of massive upper gastrointestinal hemorrhage, 143 patients had esophageal varices diagnosed on emergency endoscopic examination. Seventy-one patients had active bleeding from varices and required Sengstaken tube tamponade during at least one hospital admission. The remaining patients included 33 with variceal bleeding which had stopped and 39 who were bleeding from another source. Sixty-six of the former group of 71 patients were referred for emergency injection sclerotherapy. These 66 patients were followed prospectively to August 1980, and had 137 episodes of endoscopically proven variceal bleeding requiring Sengstaken tube control followed by injection sclerotherapy during 93 separate hospital admissions. Definitive control of hemorrhage was achieved in 95% the patients admitted to the hospital (single injection 70%; two or three injections 22%). The death rate per hospital admission was 28%. No patient died of continued variceal bleeding, and exsanguinating variceal hemorrhage no longer poses a major problem at our hospital. The combined use of initial Sengstaken tube tamponade followed by injection sclerotherapy has simplified emergency treatment in the group of patients who continue to bleed actively ...Continue Reading

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Citations

Sep 1, 1986·Digestive Diseases and Sciences·R Williams, D Westaby
Oct 1, 1984·World Journal of Surgery·J Terblanche
Apr 1, 1985·World Journal of Surgery·J ValayerJ Broto
Mar 1, 1996·Digestive Diseases and Sciences·M TatemichiH Ishii
Mar 1, 1985·The Japanese Journal of Surgery·J Terblanche
Sep 21, 2005·Surgical and Radiologic Anatomy : SRA·Marios LoukasTeresa Wagner
Nov 1, 1987·The Journal of Surgical Research·R P CambriaI M Modlin
Mar 24, 1983·The New England Journal of Medicine·C E Welch, R A Malt
Dec 20, 1984·The New England Journal of Medicine·UNKNOWN Copenhagen Esophageal Varices Sclerotherapy Project
May 1, 1982·Annals of Surgery·W D WarrenJ T Galambos
Jul 1, 1993·Journal of Gastroenterology and Hepatology·G H LoK J Lo
Nov 1, 1994·Journal of Gastroenterology and Hepatology·M C HouS D Lee
Nov 1, 1995·The Australian and New Zealand Journal of Surgery·J KolliasJ Toouli
May 7, 1994·BMJ : British Medical Journal·S G Williams, D Westaby
Feb 1, 1985·Gut·S K SarinB S Anand
Jun 1, 1982·Postgraduate Medical Journal·H Ellis
Feb 1, 1991·Postgraduate Medical Journal·A E Gimson, D Westaby
Feb 1, 1982·The Western Journal of Medicine·R A Malt
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Jul 1, 1986·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·D WestabyR Williams
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