Sclerotherapy Verus Propranolol After a Variceal Bleed
نویسنده
چکیده
operation11. Until surgeons are more alert to a preoperative or peroperative diagnosis and until the limits of radical surgery are defined the further treatment of gallbladder carcinoma invading perimuscular connective tissue but not serosa must remain an open question. Gallbladder carcinoma first diagnosed by microscopic examination of gallbladders removed for presumed benign disease. (1990) Operative findings in patients with early forms of gallbladder cancer. resection of the hepatoduodenal ligament for carcinoma of the bile duct and gallbladder. surgical treatment of primary carcinoma of the gallbladder based on the histologic analysis of 48 surgical specimens. Am. Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy. (1992) A prospective randomized trial comparing repeated endoscopic sclerotherapy and propranolol in decompensated (Child B and C) cirrhotic patients. Hepatology, 16, 89-95.
منابع مشابه
Sclerotherapy or Banding for Oesophageal Varices?
Sarin, S. K., Govil, A., Jain, A. K., Guptan, R. C., Issar, S. K., Jain, M. and Murthy, N. S. (1997) Prospective randomised trial of endoscopic sclerotherapy versus variceal band ligation for esophageal varices: influence on gastropathy, gastric varices and variceal recurrence. Journal of Hepatology, 26, 826-832. Background/Aims: Endoscopic variceal ligation and endoscopic sclerotherapy are bot...
متن کاملShould Neither Sclerotherapy nor Propranolol be Used Prophylactically for Oesophageal Varices?
The PROVA Study Group. (1991) Prophylaxis offirst hemorrhage from esophageal oarices by sclerotherapy, propranolol or both in cirrhotic patients: A randomized multicenter trial. The objective of this randomized multicenter trial was to assess the prophylactic effect on the incidence and severity of the first variceal hemorrhage of endoscopic sclerotherapy, propranolol and the combination of the...
متن کاملSclerotherapy versus sclerotherapy and propranolol in the prevention of rebleeding from oesophageal varices: a randomised study.
BACKGROUND This trial was carried out to assess the value of propranolol in the prevention of recurrent variceal bleeding when combined with longterm endoscopic sclerotherapy. PATIENTS AND METHODS Two hundred patients (161 male, 39 female, age range 20-68 years) with portal hypertension resulting mainly from schistosomal periportal fibrosis or posthepatitic cirrhosis presenting with their fir...
متن کاملDiscussion and Round Table Presentation
Chairman Terblanche: Most of the discussion time will be spent reviewing the long-term management of patients after a variceal bleed. In the last 10 minutes we will attempt to place the role of prophylactic therapy in perspective. In my view there are some end-stage patients who should not be subjected to either emergency or definitive treatment. Unfortunately they are frequently difficult to i...
متن کاملEfficacy of Thrombin Fibrin Glue and Sclerosant in the Management of Bleeding Gastric Varices
Gastric varices are noted in up to 20 % of patents with portal hypertension, and are more common in those with noncirrhotic etiology. They bleed at lower portal pressures, bleed more severely and are associated with higher rates of rebleed, encephalopathy and mortality. Variceal obliteration using tissue adhesives such as N-butyl cyanoacrylate leading to plugging and thrombosis of the gastric v...
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عنوان ژورنال:
- HPB Surgery
دوره 7 شماره
صفحات -
تاریخ انتشار 1993