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[Preliminary evaluation of endoscopic selective varices devascularization in children]

X M Qin1, H Guo, T L Mei

  • 1Department of Gastroenterology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.

Zhonghua Er Ke Za Zhi = Chinese Journal of Pediatrics
|July 4, 2019
PubMed

Insights

Endoscopic selective varices devascularization (ESVD) is a safe and effective treatment for esophageal gastric varices bleeding (EGVB) in children. While initial results are promising, long-term effectiveness requires further investigation.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Surgery

Background:

  • Esophageal gastric varices bleeding (EGVB) poses a significant risk in children.
  • Endoscopic selective varices devascularization (ESVD) is a potential treatment modality.

Purpose of the Study:

  • To evaluate the efficacy and safety of ESVD in pediatric patients with EGVB.
  • To assess complications associated with ESVD in this population.

Main Methods:

  • Retrospective analysis of clinical data from five pediatric patients treated with ESVD.
  • Evaluation of treatment outcomes, including rebleeding rates and complications.

Main Results:

  • No rebleeding occurred at one-week follow-up.
  • Three patients required further endoscopic intervention at three months due to stenosis or recurrence.
  • One patient experienced mesenteric thrombosis, successfully treated with heparin.

Conclusions:

  • ESVD appears to be a safe and effective initial treatment for pediatric EGVB.
  • Long-term efficacy of ESVD warrants further research and extended follow-up studies.

Keywords:
ChildEsophageal and gastric varicesNatural orifice endoscopic surgery

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