Management of esophagcal varices at Suratthani Hospital

Authors

  • Kanchanee Janwanitsthaporn Division of Medicine, Suratthani Hospital

Keywords:

Esophagcal varices, liver cirrhosis, upper GI hemorrhage, endoscopic intervention

Abstract

This is a retrospective study of 279 patients with bleeding esophageal varices in the medical department of Suratthani Hospital from 1 July 1996 to 30 April 2003. All patients were treated with endoscopic interventions (endoscopic sclerotherpy and/or rubber band ligation). The patients consisted of 67% men, and had an average of 54.9 years. Underlying diseases included liver cirrhosis (98.2%) and was alcoholic cirrhosis (59.5%), Child Pugh class B and C (77.7%), and EV grade III (62.1%). Clinical bleeding was considered moderate to severe upper GI hemorrhage in 64.4%) of patients. The patients were already in a high risk group, so mortality the rate was high (22.2%). Secondary prevention of recurrent bleeding with propanolol and endoscopic intervention should be widely used in general hospitals to decrease the rate of rebleeding and increase and increase early detection of esophageal varices in high risk patients.

Downloads

Published

01-07-2005

How to Cite

Janwanitsthaporn, K. . (2005). Management of esophagcal varices at Suratthani Hospital. Siriraj Medical Journal, 57(7), 344–355. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245600

Issue

Vol. 57 No. 7 (2005): July

Section

Original Article

License

Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:

  • Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.