TY - JOUR AU - Hameed, Khalid AU - Khan, Yaseen AU - Saeed, Arif AU - Ahmad, Iqbal AU - Javed, Muhammad AU - Rehman, Sher AU - Khan, Ijaz Muhammad AU - Khattak, Abbas Khan AU - Ghafoor, Aamir PY - 2011/10/13 Y2 - 2024/03/29 TI - INJECTION SCLEROTHERAPY OF BLEEDING GASTRIC VARICES USING ABSOLUTE ALCOHOL JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 24 IS - 2 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/1053 SP - AB - <span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Objectives:</p></span></span></span><p><p> </p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Material and methods:</p></span></span></span><p><p> </p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Results:</p></span></span></span><p><p> </p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Conclusion:</p></span></span></span><p><p> </p></p><p><span style="font-family: Times New Roman; font-size: x-small;">Sclerotherapy with absolute alcohol may be effective in achieving hemostasis in bleeding</span><p> </p></p><p>gastric varices but with exceptionally high rate of complications.</p></p><p><span style="font-family: Times New Roman; font-size: x-small;">Fifteen (55.56%) patients were male and 12 (44.44%) were female with a mean age of</span><p> </p></p><p>47.52+15.09 years. Twenty one (77.78%) patients had cirrhosis due to chronic hepatitis C, 4 (14.81%)</p><p>were HBV related while 2 (7.40%) had alcoholic liver disease. Majority (70.73%) had child's class C</p><p>followed by B and A (18.51% and 11.11% respectively). Variceal eradication was achieved in 19(70.37%)</p><p>patients. Three were lost to follow up while 5 died due to uncontrolled bleeding. Post sclerotheraphy</p><p>ulceration was the most common complication (64%) followed by pyrexia (28%), Retrosternal/epigastric</p><p>pain (16%) and dysphagia (8%).</p></p><p><span style="font-family: Times New Roman; font-size: x-small;">This descriptive study was conducted in the department of Gastroenterology,</span><p> </p></p><p>Hayatabad Medical Complex Peshawar from September 2006 to September 2009. Twenty Seven patients</p><p>with portal hypertension fulfilling the inclusion criteria and consenting were included in the study.</p><p>Endoscopy was arranged within 12 hours of admission to the hospital. The gastric varices were injected</p><p>with 5-10 ml of absolute alcohol depending upon the size of the varices. Both intravariceal and</p><p>paravariceal techniques were used. Subsequent endoscopy sessions were arranged at 2 weeks intervals.</p><p>The outcomes assessed were variceal eradication, rebleed and death. Findings were noted and entered into</p><p>a structured proforma. Data was analyzed using SPSSv.10.</p></p><p><span style="font-family: Times New Roman; font-size: x-small;">To evaluate the effectiveness of absolute alcohol injection in the management of bleeding</span><p> </p></p><p>gastric varices.</p> ER -