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Related Experiment Videos

[Esophageal function scintigraphy following sclerosing therapy].

K D Lindecken, J Laum

    Zentralblatt Fur Chirurgie
    |January 1, 1985
    PubMed
    Summary

    Sclerotherapy is a standard treatment for esophageal variceal bleeding. This study found no evidence that gastroesophageal reflux necessitates additional treatment to prevent bleeding relapses.

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    Acute non-calculous cholecystitis.

    The British journal of clinical practice·1990

    Area of Science:

    • Gastroenterology
    • Hepatology
    • Interventional Endoscopy

    Background:

    • Esophageal variceal bleeding is a serious complication of portal hypertension.
    • Sclerotherapy is an established treatment for managing variceal bleeding.
    • The role of gastroesophageal reflux in variceal bleeding relapse is not fully understood.

    Purpose of the Study:

    • To investigate the association between gastroesophageal reflux and the relapse of esophageal variceal bleeding after sclerotherapy.
    • To determine if augmented reflux necessitates additional treatment to prevent variceal bleeding recurrence.

    Main Methods:

    • Sclerotherapy was performed on 90 patients with esophageal variceal bleeding.
    • Gastro-oesophageal reflux-scintigraphy was conducted in 18 of these patients.
    • Analysis focused on identifying augmented reflux of gastric acid and signs of insufficiency.

    Main Results:

    • No augmented reflux of gastric acid was demonstrated in the patients studied.
    • Signs of gastroesophageal reflux insufficiency were not evident.
    • The study found no correlation between reflux and variceal bleeding relapse.

    Conclusions:

    • Routine treatment to prevent variceal bleeding relapse due to gastroesophageal reflux is not indicated.
    • Sclerotherapy alone appears sufficient in managing variceal bleeding without specific anti-reflux interventions.
    • Further research may explore specific patient subgroups if indicated.

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