Selective Precision Endoscopic Treatment Of Gastroesophageal Varices

Objective To evaluate the therapeutics effects of precision endoscopic treatment of gastroesophageal varices and observe the disappearance of blood vessels and side effects.Methods One hundred and four patients with esophagogastric variceal bleeding who underwent precision endoscopic treatment were divided into three treatment groups: treatment above the cardia(n = 68),below the cardia(n =15)and the combination of both(n =21).The total effective rate,rate of improvement,rate of significant improvement,rebleeding rate and rate of complications were compared among the three groups.Results The total effective rates,improvement rates and significant improve rates were63.2%,23.5% and 39.7%,respectively,for the group treated above the cardia;the corresponding percentages were 80.0%,20.0% and 60.0% for the group treated below the cardia,and 90.5%,28.6% and 61.9% for the combination group.There were significant differences in the total effective rate(c2= 6.444,P = 0.039)as well as the improvment rate and significant improvement rate(c2= 6.235,P = 0.044).The rebleeding rates at 2 wk and 3 mo after treatment were 11.8% and 19.1% for the group treated above the cardia,6.7% and 13.3% for that below the cardia,and 9.5% and14.3% for the combination group.There were no statistical differences in the rebleedingrates among the three groups(P > 0.05).No serious complications occurred in all the three groups.The incidence rates of complications in the three groups were30.9%,33.3% and 38.1%,respectively,and there was no statistical difference among them(P > 0.05).Conclusion The combination group had the best curative effect.