Document Detail


N-butyl-2-cyanoacrylate (Histoacryl) plus sclerotherapy versus sclerotherapy alone in the treatment of bleeding esophageal varices: a randomized prospective study.
MedLine Citation:
PMID:  7588348     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND STUDY AIMS: N-2-cyanoacrylate (Histoacryl) and endoscopic sclerotherapy with polidocanol have both been reported to control variceal bleeding. The aim of the present study was to compare the effectiveness of the combination of Histoacryl and endoscopic sclerotherapy with polidocanol in the management of these patients regarding early rebleeding and hospital mortality rates. PATIENTS AND METHODS: One hundred twenty-six consecutive patients with variceal hemorrhage treated with injection therapy between March 1990 and July 1993 were included in this randomized prospective study. Sixty-seven patients (Group A) were treated with Histoacryl and conventional sclerotherapy with polidocanol, and 59 patients (Group B) were treated with conventional sclerotherapy with polidocanol alone. Histoacryl was injected intravariceally during the first session in the Group A patients. RESULTS: A significantly lower bleeding recurrence rate was found in Group A patients who presented with active bleeding at the first treatment session (Group A: 2 of 20, Group B: 8 of 18, p < 0.05). The hospital mortality was also significantly lower in these patients (Group A: 3 of 21, Group B: 9 of 18, p < 0.05). CONCLUSIONS: The combination of Histoacryl with conventional sclerotherapy with polidocanol in patients with esophageal bleeding who present with active bleeding, at the initial injection therapy, can improve the results of endoscopic management.
Authors:
C Feretis; C Dimopoulos; P Benakis; B Kalliakmanis; N Apostolidis
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Endoscopy     Volume:  27     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-12-07     Completed Date:  1995-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  355-7     Citation Subset:  IM    
Affiliation:
Department of Surgical Endoscopy, Hygeia Diagnostic and Therapeutic Center, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adult
Enbucrilate / therapeutic use*
Esophageal and Gastric Varices / therapy*
Female
Gastrointestinal Hemorrhage / therapy*
Humans
Male
Middle Aged
Oleic Acids / therapeutic use*
Polyethylene Glycols / therapeutic use*
Prospective Studies
Recurrence
Sclerosing Solutions / therapeutic use*
Sclerotherapy*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Oleic Acids; 0/Polyethylene Glycols; 0/Sclerosing Solutions; 3282-75-5/ethanolamine oleate; 6606-65-1/Enbucrilate; 9002-92-0/polidocanol
Comments/Corrections
Comment In:
Endoscopy. 1995 Jun;27(5):392-6   [PMID:  7588355 ]

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


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