STUDIES ON PROGNOSIS OF PATIENTS WITH ESOPHAGEAL AND GASTRIC VARICES TREATED WITH INJECTION SCLEROTHERAPV USING EO OR EO-AS COMBINATION METHOD

Abstract

The effectiveness of injection sclerotherapy (ST) done in 116 patients with esophageal or gastric varices using EO method or EO-AS combination method was studied. Effective rate of EO method done in 54 patients and EO-AS combination method done in 62 patients were 89.5% and 98%, respectively. With EO-AS combination method, varices were completely disappeared in all cases, whereas they were incomplete in some cases with EO method. In studing the prognosis of 64 patients who were observed for 1 to 5 years after ST, the following conclusions were made. No recurrence of hemorrhage was observed in patients with complete disappearance of varices including gastric ones. On the other hand, recurrence of the hemorrhage was observed in patients with incomplete disappearance of varices, especially gastric varices. Therefore, the gastric varices communicating with esophageal ones should be treated to the most end of the gastric varices with ST using EO mixed with constrast media done under X-ray monitoring. Isolated varices of the stomach without communication to the esophageal varices were difficult to be treated with ST.