Evaluation of emergency non-surgical treatments for bleeding esophago-gastric varices

• Published in: Kanzo Vol. 27; no. 11; pp. 1606 - 1615
• Main Authors: AOKI, Haruo, HASUMI, Akitake, SHIMAZU, Motohide, SAKAMOTO, Kenya, ISHIDA, Tamotsu, NAKANISHI, Hidekazu, HATAKAWA, Yukio, INOKUCHI, Kiyoshi
• Format: Journal Article
• Language: Japanese
• Published: The Japan Society of Hepatology 1986
• Subjects: EIST; PTO
• ISSN: 0451-4203; 1881-3593
• DOI: 10.2957/kanzo.27.1606

Two thousand five hundred and thirteen cases of non-surgical treatment for the esophagogastric varices, involving endoscopic injection sclerotherapy (EIST), percutaneous transhepatic obliteration (PTO), etc. from 1973 to 1984, were collected from 53 institutes of member of the Japanese Research Society for Protal Hypertension. Among them, 426 cases of emergency nonsurgical treatment for bleeding varices were analyzed comparing to 445 cases of emergency operation. The emergency EIST for variceal hemorrhage provides lower hemostasis rate and somewhat higher one month survival rate than the emergency operation, however, there is no significant difference between them by the Child's classification. The effect of emergency EIST to prevent variceal hemorrhage is short-lived, because of high rate rebleeding and low improvement rate of varices. The emergency PTO is inferior to the emergency surgery in all aspects and has no benefitsto the patient.