الفهرس | Only 14 pages are availabe for public view |
Abstract Bleeding esophageal varices is one of the major health problems in Egypt. Endoscopic injection scierotherapy is a simple and quick method that has been reported to have high efficacy in prevention and in controlling variceal haemorrhage, but it is not without risk. The aim of this work was to find out if elective injection sclerotherapy for esophageal vances in cirrhotic patients is associated with any measurable deterioration in the hepatic, renal and cardiac functions in short term follow up. The material of the study comprised 30 patients categorised into two main groups: -Test group; comprised 15 patients with liver cirhosis and esophageal varices submitted to injected scierotherapy. The injection was done electively using 5% ethanolarnine oleate. The injection was ntravariceal through flexible fiberoptic olympus GIF-P type k 20. - Control group; comprised 15 cirrhotic patients submitted to diagnostic endoscopy only without injection. All patients has been subjected 24 hours before either the injection or endoscopy to thorough clinical assessment, study of the renal function tests (Blood urea and serum creatinine), hepatic function tests (serum bilirubin, serum albumin, transaminase and prothrombin time) LDH, cardiac function (Chest x-ray, ECG and ECHO) and haemogram including white blood cells count, platelets count and Hb concentration. |