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Cited 10 time in webofscience Cited 11 time in scopus
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Prognosis of patients with gastric variceal bleeding after endoscopic variceal obturation according to the type of varices

Authors
Lee, Han A.Chang, Jung M.Goh, Hyun G.Kim, Tae H.Lee, Young-SunSuh, Sang J.Jung, Young K.Choi, Hyuk S.Kim, Eun S.Kim, Ji H.An, HyungginSeo, Yeon S.Yim, Hyung J.Jeen, Yoon T.Yeon, Jong E.Chun, Hoon J.Byun, Kwan S.Um, Soon H.Kim, Chang D.
Issue Date
Feb-2019
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
cyanoacrylate; gastric varices; histoacryl; rebleeding; recurrence
Citation
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, v.31, no.2, pp.211 - 217
Indexed
SCIE
SCOPUS
Journal Title
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
Volume
31
Number
2
Start Page
211
End Page
217
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/2433
DOI
10.1097/MEG.0000000000001271
ISSN
0954-691X
Abstract
Background and aims This study was performed to evaluate the treatment efficacy of endoscopic variceal obturation (EVO) in patients with gastric variceal bleeding (GVB) according to the type of varices. Patients and methods All patients who were treated with EVO for bleeding from gastric varices (GVs) were included. Patients with a previous history of endoscopic treatment for GVB and those with accompanying portal vein invasion by hepatocellular carcinoma or other malignancy were excluded. Results Ninety-one patients with GVB were included. Mean age was 59.4 +/- 12.4 years and 72 (79.1%) patients were men. The types of varices were gastroesophageal varices (GOV) type 1 (GOV1), GOV2, and isolated gastric varices type 1 (IGV1) in 30 (33.3%), 35 (38.5%), and 26 (28.6%) patients, respectively. Hemostasis and GV obliteration were achieved in 88 (96.7%) and 81 (89.0%) patients, respectively. Among 81 patients with GV obliteration, GV recurred in 26 (32.1%) patients. The GV recurrence rate was significantly lower in patients with GOV1 than in those with GOV2 (P=0.007), while it was comparable between patients with GOV1 and IGV1 (P=0.111) and between patients with GOV2 and IGV1 (P=0.278). Variceal rebleeding occurred in 11 (13.6%) patients. GVB recurrence rate was significantly higher in patients with GOV2 than in those with GOV1 (P=0.034) and IGV1 (P=0.018), while it was comparable between patients with GOV1 and IGV1 (P=0.623). Mortality rate was comparable among the three groups. Conclusions EVO was very effective in patients with GVB. GV recurrence and GV rebleeding were significantly lower in patients with GOV1 than in those with GOV2.
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1. Basic Science > Department of Biostatistics > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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