Abstract
AIM: To evaluate the therapeutics effects of precision endoscopic treatment of gastroesophageal varices and observe the disappearance of blood vessels and side effects.
METHODS: One hundred and four patients with esophagogastric variceal bleeding who underwent precision endoscopic treatment were divided into three treatment groups: treatment above the cardia (n = 68), below the cardia (n = 15) and the combination of both (n = 21). The total effective rate, rate of improvement, rate of significant improvement, rebleeding rate and rate of complications were compared among the three groups.
RESULTS: The total effective rates, improvement rates and significant improve rates were 63.2%, 23.5% and 39.7%, respectively, for the group treated above the cardia; the corresponding percentages were 80.0%, 20.0% and 60.0% for the group treated below the cardia, and 90.5%, 28.6% and 61.9% for the combination group. There were significant differences in the total effective rate (χ2 = 6.444, P = 0.039) as well as the improvment rate and significant improvement rate (χ2 = 6.235, P = 0.044). The rebleeding rates at 2 wk and 3 mo after treatment were 11.8% and 19.1% for the group treated above the cardia, 6.7% and 13.3% for that below the cardia, and 9.5% and 14.3% for the combination group. There were no statistical differences in the rebleeding rates among the three groups (P > 0.05). No serious complications occurred in all the three groups. The incidence rates of complications in the three groups were 30.9%, 33.3% and 38.1%, respectively, and there was no statistical difference among them (P > 0.05).
CONCLUSION: The combination group had the best curative effect.
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