Compare Between Endoscopic Variceal Band Ligation and Injection Sclerotherapy Treatment Among Acute Variceal Bleeding Patients MSI Bleeding Center, Khartoum State, Sudan, 2018

Abstract

This study was carried out in MSI bleeding center, Ibn Sina teaching hospital in Khartoum State, Sudan, with in the period from June to October 2018. The Objectives: Of this study to compare between endoscopic variceal band ligation and injection sclerotherapy treatment among acute variceal bleeding patients. The study also aimed to assess the outcome of the treatment in term of the occurrence of post treatment re-bleeding within the first and sixth weeks after the treatment, and to assess if the type of the treatment used is associated with a difference in the outcome (occurrence of re-bleeding). The study covered all patients diagnosed with acute variceal bleeding attend the study area with in the study time period. 100 cases have been selected. A questionnaire used to collect data, which was computed and statistically analyzed by using SPSS version 25.0. The result of study found that participants were 83% male and 17 females, age of 40 – 60 years old (51%) followed by age group 20 to 40 years (25%) and 24% for the age group of more than 60 years old. 44% of the study group were from Aljazeera state, followed by Khartoum state which was 32% of the study group, and 23% from other states. 32% of participants were diagnosed by liver cirrhosis, while 67% of the study group diagnosed by schistosomiasis. 51% had EVL, and 49% had EIS. 4% of patients who had EVL, experienced rebleeding within six weeks, while 8% of the of patients who had EIS experienced rebleeding (4% within one week and 4% within six weeks). Mortality was not associated with type of treatment of acute variceal bleeding.The study Conclude that the recurrent bleeding was more associated with EIS than EVL, treatment by EVL is more effective than EIS in the matter of timing of rebleeding.

Citation: Osman A.O.A.; Elhassan H.I A.and Babeker A.M. (2023) Compare Between Endoscopic Variceal Band Ligation and Injection Sclerotherapy Treatment Among Acute Variceal Bleeding Patients MSI Bleeding Center, Khartoum State, Sudan, 2018, European Journal of Biology and Medical Science Research, Vol.11, No.2, pp.,47-61

Keywords: EIS, EVL, Treatment., bleeding center, compare

DOI: https://doi.org/10.37745/ejbmsr.2013/vol11n24761

Article Review Status: Published

Pages: 47-61 (Download PDF)

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