Analysis of the effect of emergency endoscopic hemostasis treatment for early rebleeding after esophageal variceal ligation
Objective To assess the effectiveness and safety of emergency endoscopic treatment for early rebleeding after esophageal variceal ligation.Methods A retrospective analysis was performed for 13 patients who underwent emergency endoscopic treatment for early rebleeding after esophageal variceal ligation from July 2011 to September 2022.The endoscopic performance,hemostatic measures used,the duration of the operation,the success rate of hemostasis,and the occurrence of postoperative adverse reactions were recorded.Postoperative follow-up was observed for 3 months.Results All patients showed that the original bandage was partially or completely shed,and ulcers were formed on the wound,including 2 cases(15.4％)with jet-like hemorrhage,5 cases(38.5％)with persistent bleeding,1 case(7.7％)with exposed blood vessels on the ulcer surface without active bleeding,and 5 cases(38.5％)with blood clots or blood stains.All 13 patients were treated with sclerosing injection,and the average sclerosing agent requirement was(23.6±10.1)mL,including 3 cases combined with ligation and 2 cases combined with fundus tissue glue injection.All patients stopped bleeding immediately after endoscopic treatment,with a success rate of 100％and an average operation time of 20.3min.After surgery,5 cases(38.5％)had fever,1 case(7.7％)chest pain,and 1 case(7.7％)of abdominal distention,which could be relieved after symptomatic treatment.At 3 months of follow-up,none of them had any more bleeding.Conclusion When early rebleeding occurs after esophageal variceal ligation,emergency endoscopic treatment is safe and effective and worth promoting.
万方数据
维普
