EFFICACY OF HISTOACRYL ENDOSCOPIC INJECTION AND BAND LIGATION IN THE MANAGEMENT OF ACUTE GASTRIC VARICEAL BLEEDING (TYPE GOV1) AT VIET TIEP HOSPITAL
Main Article Content
Abstract
Objectives: To evaluate the efficacy and safety of band ligation and histoacryl injection in the management of acute gastric variceal bleeding (type GOV1). Method: A perspective descriptive study. Patients: 83 patients with gastric variceal bleeding (type GOV1) were performed in departement of gastroenterology at Viet Tiep hospital from 10/2020 to 9/2022. Results: Of 83 patients, 96.39% men, median age of 57.5 ± 10.42 (34-82) years. There were 9 cases (10.84%) combined with band ligation and histoacryl injection; 50 (60.24%) were band ligation and 24 (28.92%) were injected with histoacryl alone. Median of histoacryl was 1.1 ± 0.38 (0.5-1.5) ml. The technical success rate was 100%. Haemostasis in emergency was 55/55 patients (100%). Haemorrhage recurrent rate was during 12 months (11.84%). Eradication of gastric varices after histoacryl injection (94.45%) and band ligation (86.21%) within three months. Complications: epigastric pain rate was 15.66%; there was not case with septicemia and embolism. Conclusions: endoscopic band ligation and histoacryl injection are effective and safe measure in the treatment of gastric varices bleeding (type GOV1).
Article Details
Keywords
Endoscopic band ligation, histoacryl injection, gastric varices bleeding.
References
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