1. Self-expandable metallic stents (SEMS) in esophageal varices post-band ulcer refractory bleeding: a retrospective study
- Author
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Osama Elbahr, Ahmad Kamal, Ayman Alsebaey, Mohamed Amin, Mohamed Abbasy, Ahmad Edris, Ali Nada, Alyaa Sabry, Sameh Afiffy, Abd El-Aleem Helal, Mohamad Abd El-aziz, and Abd El-naser Gad-Allah
- Subjects
Liver cirrhosis ,Portal hypertension ,Varices ,Post-band ulcer ,Metallic stents ,Bleeding ,Surgery ,RD1-811 ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Abstract Background Post-variceal band ligation bleeding ulcer is a severe complication with considerable mortality. We tried evaluating self-expandable metallic stent (SEMS) with concern to the ulcer morphology not well studied. Results We did a retrospective analysis of patients with bleeding post-band ulcers and treated by SEMS with concern to control bleeding and 6 weeks survival. Twenty-eight patients studied had their age (mean ± S.D.) 57.8 ± 8.6 years, and 85.7% were males. The Child-Pugh score range was 5–12]. Control of bleeding by SEMS was achieved in 23 (82.1%) patients, and overall, 6-week survival was 75%. Both post-band ulcer types B (oozing blood and type C (active spurted) were a risk for 6 weeks mortality (P = 0.04, OR 1.58, CI 95% 1.12–2.23). Conclusion SEMS is considered an excellent choice to control esophageal post-banding ulcer bleeding and a definite treatment bridge.
- Published
- 2021
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