Evaluation of endoscopic variceal sclerotherapy in various grades of liver disease.

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1989-10-01
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Abstract
Forty four patients with portal hypertension of varying etiology, including 25 patients with an acute episode of variceal bleeding and 19 with past history of hematemesis, were followed up for eighteen months following endoscopic variceal sclerotherapy (EVS). Of 11 patients in Child's A group, two died of acute bleed, three were subjected to shunt surgery and the remaining six survived the follow-up period. Ten of 11 cases in Child's C did not survive more than six months in spite of sclerotherapy. We conclude that rebleed and death due to rebleed following EVS occur more commonly in patients with poor hepatic reserve (Child's C) as compared to patients in Child's A and B.
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Shah SC, Raisinghani PR, Shah RC, Chanda IB, Shah AG, Dalal NJ. Evaluation of endoscopic variceal sclerotherapy in various grades of liver disease. Indian Journal of Gastroenterology. 1989 Oct; 8(4): 259-60