Abstract
One hundred and six cases of esophageal varices were divided into two groups, that is, 56 cases treated with endoscopic sclerotherapy (group A) and 50 operated cases (group B). A clinical comparison was made between these two groups. Seventy-eight 96 of group A and 83.9% of group B were accompanied with liver cirrhosis. Hepatitis virus of B type and non-A non-B type, and alcohol were the three major causes and they were equally seen. With respect to the clinical signs and symptoms, jaundice and meteorism were rare and ascites, SKD, enlarged dullness of spleen, hepatomegaly were relatively common in both group. The laboratory data demonstrated that significant improvement of gamma-GTP and triglyceride in group A and gamma-GTP, LAP, ZTT, cholesterol and total protein in group B was observed after the treatment. Endoscopic findings of esophagus was not different in both group, but more esophageal varices were detected up to the middle and the upper part of the esophagus in group A than in group B. Endoscopic sclerotherapy was done once in 45 cases, twice in 10 cases and three times in one case. Operated cases were consisted of 7 cases of prophylactic, 22 cases of protective and 20 cases of emergency op-eration. Prognosis of these groups was not significantly different between group A and group B, and furthermore, among the three groups of prophylact, protective and emer-gency operation.
