Incidence and risk factors contributing for early variceal rebleeding after esophageal variceal ligation (EVL)
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 3
Abstract
Our aim is to assess incidence & risk factors contributing for early variceal rebleeding after esophageal variceal ligation (EVL). A prospective study was conducted on eighty patients with chronic liver diseases who underwent EVL. Follow up of patients for 2 weeks was done to evaluate the outcome then patients were divided into non-rebleeding group including 71 patients and early variceal rebleeding group including 9 patients. All patients were subjected to full history and clinical assessment, routine laboratory investigations, Child-Pugh classification, MELD score, abdominal ultrasonography, upper endoscopy to assess esophageal varices grade, number, extent, gastic varices, severity of portal hypertensive gastropathy and number of rubber bands used. Our results revealed incidence of early variceal rebleeding following EVL of 11%. Low serum albumin, high serum Creatinine, BUN, WBC and total bilirubin were risk factors contributing for early variceal rebleeding after EVL. Gastric varices, esophageal varices grade and extent are endoscopic risk factors contributing for early variceal rebleeding after EVL. The presence of ascites, history of multiple number of sessions of previous intervention, higher MELD score and Child-Pugh class C were statistically significant (p<0.05) in the rebleeding group compared to non rebleeding. Early variceal rebleeding following EVL was detected in 11% of our patients. Poor liver function as indicated by Child-Pugh and MELD scores with endoscopic findings of higher esophageal varices grade, number and extent of esophageal varices, Presence of gastric varices and number of session of previous intervention were risk factors contributing for early variceal rebleeding after EVL. Keywords: Esophageal varices, esophageal variceal ligation (EVL),Early variceal rebleeding.
Authors and Affiliations
Shendy Mohamed Shendy, Mohamed Darwish El-Talkawy, Abdel Aziz Ali Saleem, Hoda Abu Taleb, Mohamed Khairy Elnaggar
Keywords
Related Articles
- EP ID EP374359
- DOI -
- Views 46
- Downloads 0
The Demographic, Clinical and Laboratory Profile of Patients with Giant Cell Arteritis: Case Series
The aim of the study was to describe the demographic, clinical and laboratory profile of patients with giant cell arteritis in northeast of Iran. In a retrospective study we reviewed the records of all patients that sati...
A Clinico-Pathological Study of Fistula-in-ano
Fistula-in-ano is considered as one of the commonest cause for a persistent seropurulent discharge, irritating the skin in the neighbourhood and causes discomfort. This study deals with its etiology, especially in relati...
Incidence of urinary tract infections in ureteroscopic lithotripsy patients: A single center study
Urinary tract infection is a major threat in health care units which increases the hospital stay and related expenses. In the present study, we compared the incidence of urinary tract infection (UTI) in patients who have...
Clinico Microbiological Spectrum of Diabetic Foot Infections
Abstract: Diabetic foot infections are a common cause of morbidity and mortality. This study was undertaken to study the microbiological flora of diabetic foot ulcers and to assess the in vitro antibacterial susceptibili...
Avoidable Causes of Severe Visual Impairment and Blindness in Children of Western Rajasthan
Abstract: Childhood blindness refers to a group of diseases and conditions occurring in childhood or early adolescence (<16 years of age), which, if left untreated, result in blindness or severe visual impairment that ar...