| Endoscopic evaluation of the therapeutic effect of sclerotherapy for esophageal varices. | |
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MedLine Citation:
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PMID: 8454144 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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H Miyoshi; A Matsumoto; E Umegaki; M Oka; I Hirata; S Ohshiba |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 39 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 1993 Jan-Feb |
Date Detail:
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Created Date: 1993-04-21 Completed Date: 1993-04-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 37-42 Citation Subset: IM |
Affiliation:
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Second Department of Internal Medicine, Osaka Medical College, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Esophageal and Gastric Varices
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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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