食道静脈瘤破裂症例に対する内視鏡的硬化療法および経回盲静脈的塞栓術の有用性に関する検討

DOI

書誌事項

タイトル別名
  • CLINICAL EFFICACIES OF URGENT ENDOSCOPIC INJECTION SCLEROTHERAPY AND TRANSILEOCECAL OBLETERATION FOR RUPTURED ESOPHAGO-GASTRIC VARICES

抄録

Since November 1983, endoscopic injection sclerotherapy (EIS), which is sometimes followed by transiloncecal obliteration (TIO) has been performed in emergency to 42 cases of ruptured esophago-gastric varices, and clinical of f icacies were evaluated. After the initial EIS or TIO, the hemostatic success rate of the cases in which bleeding points were observed below esophago-gastric junction (EGJ) was about 43 %, while the hemostatic rate of the cases of ruptured esophageal varices was about 90 %. And we classified the esophago-gastric varices into three types according to the endoscopic findings as followed ; Type I : Esophageal varices without gastric varices on lesser curvature and/or f ornix of the stomach. Type II: Esophageal varices rises from gastric varices on lesser curvature of the stomach. Type III : Large nodular varices on the f ornix of the stomach with or without eso-phageal varices. The hemostatic rate after the initial treatment by EIS were 100 % to type I, however, 77 % and 57 % to type II and III respectively. On the contrary, the hemostatic rates after initial combined treatment of EIS and TIO were 100% on both type II and III cases. From these results, we conclude that hemostasis can be obtained by only EIS treatment in type I varices. However, combined treatment of EIS and TIO is strongly recomended to type II or III varices to obtaine deffinite hemostasis.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390282679195439872
  • NII論文ID
    130004089318
  • DOI
    10.11280/gee1973b.30.3084
  • ISSN
    18845738
    03871207
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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