PMID: 9430007Jan 16, 1998Paper

Influence of extravariceal collateral channel pattern on recurrence of esophageal varices after sclerotherapy

Journal of Gastroenterology
T SakaiK Tanikawa

Abstract

We investigated the influence of extravariceal collateral channel pattern on the recurrence of esophageal varices after sclerotherapy. One hundred and fifteen patients with cirrhosis and esophageal varices were studied. They were divided into four groups according to extravariceal collateral pattern on portal venography. Group 1 patients had neither paraesophageal veins nor gastrorenal veins (n = 49); group 2 patients had paraesophageal veins only (n = 30); group 3 patients had gastrorenal veins only (n = 25); and group 4 patients had paraesophageal veins plus gastrorenal veins (n = 11). Sclerotherapy was repeated to eradicate esophageal varices and follow-up endoscopic examination were performed. The overall recurrence-free rate at 36 months was 68%. The log-rank test showed the recurrence-free rate to be significantly higher in group 3 (76%) and group 4 patients (89%) than in group 1 patients (51%; P < 0.05 and P < 0.05, respectively). Although the recurrence-free rate was higher in group 4 than in group 2 patients (59%), this did not reach the level of significance (P = 0.10). No significant differences were found between other pairs of groups. These results suggest that gastrorenal veins play an important role in the protec...Continue Reading

References

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Citations

Apr 29, 2010·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Varghese ThomasSunil Kumar
Dec 6, 2012·Diagnostic and Therapeutic Endoscopy·Takahiro Sato, Katsu Yamazaki
Feb 12, 2009·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Takahiro SatoJun Akaike
May 1, 2001·Alimentary Pharmacology & Therapeutics·A Helmy, P C Hayes
May 15, 2001·Journal of Gastroenterology and Hepatology·A Toyonaga, T Iwao
Mar 23, 1999·The American Journal of Gastroenterology·A MatsumotoK Katsu

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