%0 Journal Article
%T V¨¢rices esof¨¢gicas: experiencia cl¨ªnica en un hospital de referencia regional
%A G¨®mez
%A Diego
%A Garz¨®n
%A Mart¨ªn
%A Mart¨ªnez
%A Juli¨¢n D
%A Rey
%A Mario H
%A Marulanda
%A Juan C
%A Molano
%A Juan C
%A Guevara
%A Luis G
%J Revista Colombiana de Gastroenterologia
%D 2003
%I Asociaci¨®n Colombiana de Gastroenterolog¨ªa
%X endoscopic studies show that the prevalence of oesophageal v¨¢rices in cirrhotic patients is about 60%, while at 5 years probabilty to develop oesophageal v¨¢rices reach 83%. in patients with oesophageal v¨¢rices 20% experience a first upper gastrointestinal bleeding per year, which have a 30% mortality. it¡§s estimate that about 40% of cirrhotic patients die for variceal bleeding. objectives: 1. to describe the most frequent causes of oesophageal v¨¢rices and the functional state (child) of patientes who founded that in endoscopic evaluation. 2. to evaluate the complications, effectivity of endoscopic treatment and mortality in patientes with variceal bleeding. material and methods: this is a descriptive study. we took all patients who experienced an upper gi endoscopy and found oesophageal v¨¢rices, between 1 october 2000 and 31 december 2001. we determined the most frequent diagnoses, complications and mortality of these patients and applicate frequency distribution in percentage. results: we collected 50 patients, of which 26 had a diagnostic endoscopy and 24 had a therapeutic endoscopy, for a total of 83 endoscopies, 55% male with 52 years old average . the grade of the v¨¢rices is greater in the group of therapeutic procedures (grade iii vs. grade ii of niec clasification). ascitic fluid infection was present in 5% of diagnostic group vs. 25% in therapeutic group. endoscopic control of bleeding was reached in 97.5% of cases, 63% with banding, 29% with esclerotherapy and 8% with combined therapy. reebleding was present in banding 46%, esclerotherapy 57% and 50% with combined therapy. the mortality in therapeutic group was 30% vs. 0% in the diagnostic group and most of these patients had grade iii v¨¢rices (70%), ascitic fluid infection (86%) and child c clasification (100%). conclusion: mortality in patients with oesophageal v¨¢rices is related directly with the self grade, advanced child and presence of ascitic fluid infection.
%K oesophageal v¨¢rices
%K bleeding
%K banding
%K esclerotherapy
%K ascitis
%K infection
%K child clasification.
%U http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-99572003000100005&lng=en&nrm=iso&tlng=en