Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients
Background. Esophagogastric variceal hemorrhage leads to challenging situation in chronic kidney disease patients on maintenance hemodialysis. Aims. To determine the safety and efficacy of endoscopic approaches to patients with hemodialysis-dependent concomitant with esophagogastric varices. Methods...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/9732039 |
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| author | Xiaoquan Huang Lili Ma Xiaoqing Zeng Jian Wang Jie Chen Shiyao Chen |
| author_facet | Xiaoquan Huang Lili Ma Xiaoqing Zeng Jian Wang Jie Chen Shiyao Chen |
| author_sort | Xiaoquan Huang |
| collection | DOAJ |
| description | Background. Esophagogastric variceal hemorrhage leads to challenging situation in chronic kidney disease patients on maintenance hemodialysis. Aims. To determine the safety and efficacy of endoscopic approaches to patients with hemodialysis-dependent concomitant with esophagogastric varices. Methods. Medical records were reviewed from January 1, 2004, to December 31, 2015, in our hospital. Five consecutive hemodialysis-dependent patients with variceal hemorrhage who underwent endoscopic treatments were retrospectively studied. Results. The median age of the patients was 54 years (range 34–67 years) and the median follow-up period was 21.3 months (range 7–134 months). All the patients received a total of three times heparin-free hemodialysis 24 hours before and no more than 24 hours and 72 hours after endoscopic treatment. They successfully had endoscopic variceal ligation, endoscopic injection sclerotherapy, and/or N-butyl cyanoacrylate injection. The short-term efficacy is satisfying and long-term follow-up showed episodes of rebleeding. Conclusions. Endoscopic approaches are the alternative options in the treatment of upper gastroenterology variceal hemorrhage in hemodialysis-dependent patients without severe complications. |
| format | Article |
| id | doaj-art-b580d32455174383863a8f2628ac8831 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-b580d32455174383863a8f2628ac88312025-02-03T05:53:39ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/97320399732039Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent PatientsXiaoquan Huang0Lili Ma1Xiaoqing Zeng2Jian Wang3Jie Chen4Shiyao Chen5Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaEndoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaEndoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaBackground. Esophagogastric variceal hemorrhage leads to challenging situation in chronic kidney disease patients on maintenance hemodialysis. Aims. To determine the safety and efficacy of endoscopic approaches to patients with hemodialysis-dependent concomitant with esophagogastric varices. Methods. Medical records were reviewed from January 1, 2004, to December 31, 2015, in our hospital. Five consecutive hemodialysis-dependent patients with variceal hemorrhage who underwent endoscopic treatments were retrospectively studied. Results. The median age of the patients was 54 years (range 34–67 years) and the median follow-up period was 21.3 months (range 7–134 months). All the patients received a total of three times heparin-free hemodialysis 24 hours before and no more than 24 hours and 72 hours after endoscopic treatment. They successfully had endoscopic variceal ligation, endoscopic injection sclerotherapy, and/or N-butyl cyanoacrylate injection. The short-term efficacy is satisfying and long-term follow-up showed episodes of rebleeding. Conclusions. Endoscopic approaches are the alternative options in the treatment of upper gastroenterology variceal hemorrhage in hemodialysis-dependent patients without severe complications.http://dx.doi.org/10.1155/2016/9732039 |
| spellingShingle | Xiaoquan Huang Lili Ma Xiaoqing Zeng Jian Wang Jie Chen Shiyao Chen Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients Gastroenterology Research and Practice |
| title | Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients |
| title_full | Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients |
| title_fullStr | Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients |
| title_full_unstemmed | Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients |
| title_short | Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients |
| title_sort | endoscopic approaches to the treatment of variceal hemorrhage in hemodialysis dependent patients |
| url | http://dx.doi.org/10.1155/2016/9732039 |
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