Document Detail


Endoscopic evaluation of the therapeutic effect of sclerotherapy for esophageal varices.
MedLine Citation:
PMID:  8454144     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The rebleeding rate after endoscopic injection sclerotherapy was studied in 237 patients with esophageal varices, and the optimal outcome of treatment was determined. Two new categories, RC(2-) and F0, were added to the classification scheme of endoscopic findings of varices in Japan. RC(2-) represents a state in which no veins, not even small vessels, are observed by endoscopy after endoscopic injection sclerotherapy, and F0 represents a state in which no localized venous dilations in the esophagus exist. The criteria for defining the other categories were not altered, and the R-C sign was expressed as RC(2-), RC(-), or RC(+); the degree of dilation was classified as F0 to F3. By combining the R-C sign and the F number, endoscopic findings were classified 1 to 4 weeks after endoscopic injection sclerotherapy into groups designated RC(2-)F0, RC(-)F0, RC(-)F1, and RC(+)F1-RC(+)F2. The four groups were observed to determine the incidence of esophageal stricture and rebleeding. In the RC(2-)F0 group, the incidence of stricture was high, but the rebleeding rate was low. In the RC(-)F0 group, both the incidence of stricture and rebleeding rate were low. We conclude that the optimal outcome of endoscopic injection sclerotherapy is RC(-)F0.
Authors:
H Miyoshi; A Matsumoto; E Umegaki; M Oka; I Hirata; S Ohshiba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  39     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:    1993 Jan-Feb
Date Detail:
Created Date:  1993-04-21     Completed Date:  1993-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  37-42     Citation Subset:  IM    
Affiliation:
Second Department of Internal Medicine, Osaka Medical College, Japan.
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MeSH Terms
Descriptor/Qualifier:
Esophageal and Gastric Varices / classification,  etiology,  mortality,  therapy*
Esophagoscopy
Gastrointestinal Hemorrhage / etiology,  mortality,  therapy*
Humans
Japan / epidemiology
Recurrence
Sclerotherapy*
Survival Rate
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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