A comparative study of efficacy and safety of endoscopic banding and sclerotherapy in esophageal varices

Matheen Jaffer Farman, R (2013) A comparative study of efficacy and safety of endoscopic banding and sclerotherapy in esophageal varices. Masters thesis, Coimbatore Medical College, Coimbatore.

[img]
Preview
Text
220100713matheen_jaffer_farman.pdf

Download (2MB) | Preview

Abstract

This study is conducted prospectively on a total of 50 patients with bleeding esophageal varies from September 2011 to August 2012 with the prime aim of evaluating the efficacy and safety of endoscopic variceal banding and endoscopic sclerotherapy. 1. In this study cirrhosis is the most common etiology of portal hypertension accounting for 90% of the study population. 2. 60% of study population were in 31-50 years of age group. 3. In this study more than 70% of old age people presented grade IV than grade III varices. 4. In this study about 45% of patients had signs of active bleeding. 5. In actively bleeding varices, sclerotherapy has a little added advantage over banding because of the technical difficulty of the banding due to obscured field. 6. In this study about 194 bands and 532 ml of sclerosant were used with a mean of 7.76 bands and 21.2 ml of sclerosant per person respectively. 7. In actively bleeding varices the mean number of bands and the amount of sclerotherapy is more compared to that of mean of number of bands and amount of sclerotherapy in non-bleeding patients. 8. In this study more number and percentage of females had complications compared to males though the study population of females is less. 9. 24% of patients had retrosternal pain in banding while 44% of patients in sclerotherapy had retrosternal pain. 10.16% of patients with banding and 48% of patients with sclerotherapy had odynophagia. 11.22% of patients with banding and 44% of patients with sclerotherapy had fever. 12. 32% of patients with sclerotherapy had tachycardia. No patients with banding complained of tachycardia. 13. 24% of patients with banding and 52% of patients with sclerotherapy had esophageal ulceration. 14. 4% of patients with sclerotherapy developed stricture.No patients with banding developed stricture over the follow up period. 15. 12% of patients with banding and 3% of patients with sclerotherapy had rebleeding during and after the procedures. 16. 20% of patients with sclerotherapy had recurrences of varices while no recurrence was seen in banding for the follow up period. 17. 'P' value is significant in complications such as odynophagia, fever and recurrence.

Item Type: Thesis (Masters)
Uncontrolled Keywords: efficacy and safety ; endoscopic banding ; sclerotherapy ; esophageal varices ; comparative study.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 08 Jun 2018 17:59
Last Modified: 08 Jun 2018 17:59
URI: http://repository-tnmgrmu.ac.in/id/eprint/8341

Actions (login required)

View Item View Item