Associations Between Endoscopic Primary Prophylaxis and Rebleeding in Liver Cirrhosis Patients with Esophagogastric Variceal Bleeding
Aim To identify the association between endoscopic primary prophylaxis and the risk of rebleeding in patients with liver cirrhosis receiving endoscopic therapy. Methods This cohort study involved in 944 liver cirrhosis patients with esophagogastric variceal bleeding (EGVB) receiving endoscopic thera...
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Published in | Frontiers in surgery Vol. 9; p. 925915 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Frontiers Media S.A
12.07.2022
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Subjects | |
Online Access | Get full text |
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Summary: | Aim
To identify the association between endoscopic primary prophylaxis and the risk of rebleeding in patients with liver cirrhosis receiving endoscopic therapy.
Methods
This cohort study involved in 944 liver cirrhosis patients with esophagogastric variceal bleeding (EGVB) receiving endoscopic therapy. All participants were divided into two groups: rebleeding group (
n
= 425) and non-rebleeding group (
n
= 519) according to the occurrence of rebleeding in patients. Rebleeding indicated any bleeding after endoscopic therapy for the first bleeding of esophagogastric varices in liver cirrhosis patients. Univariate and multivariate logistic analyses were employed to identify the association between endoscopic primary prophylaxis and rebleeding in patients with liver cirrhosis after endoscopic therapy.
Results
In total, 425 patients rebleeded at the end of the follow-up. The risk of rebleeding in patients with endoscopic primary prophylaxis decreased by 0.773 times (OR = 0.227, 95%CI: 0.139–0.372,
P
< 0.001) after adjusting covariables. Subgroups were divided according to the Child-Pugh (CP) score, and the results revealed that the risk of rebleeding in patients with endoscopic primary prophylaxis decreased by 0.858 times in Grade A patients (OR = 0.142, 95%CI: 0.066–0.304,
P
< 0.001) and 0.804 times in Grade B patients (OR = 0.196, 95%CI: 0.085–0.451,
P
< 0.001) compared with patients without endoscopic primary prophylaxis, but showed no difference in Grade C patients.
Conclusion
Endoscopic primary prophylaxis was associated with a decreased risk of rebleeding in liver cirrhosis patients with EGVB after endoscopic therapy, which suggested that clinicians should pay more attention to endoscopic primary prophylaxis to prevent the occurrence of rebleeding in these patients. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Reviewed by: Erlei Zhang, Huazhong University of Science and Technology, China Riccardo Memeo, Ospedale Generale Regionale F. Miulli, Italy Specialty section: This article was submitted to Visceral Surgery, a section of the journal Frontiers in Surgery Edited by: Andrea Laurenzi, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy |
ISSN: | 2296-875X 2296-875X |
DOI: | 10.3389/fsurg.2022.925915 |