Nội soi giãn tĩnh mạch ở bệnh nhân xơ gan và xơ gan kèm ung thư biểu mô tế bào gan ở Bệnh viện Trung ương Quân đội 108

Objective: The rate of esophageal variceal hemostasis in cases of liver cirrhosis and liver cirrhosis accompa-nied by hepatocellular carcinoma; the rate of eradication of the esophageal varices cluster in cases of liver cir-rhosis subject to emergency ligation and prophylactic ligation: and the rate of re-bleeding in groups of liver cir-rhosis subject to emergency ligation and prophylactic ligation. Subject and method: Seventy-five patients were divided into three groups. Group 1: 60 patients with LC accompanied by HCC with digestive bleeding; Group 2: 60 patients with LC with digestive bleeding and group 3: 30 patients with LC with high risk of digestive bleeding from esophageal varices (with no medical history of digestive bleeding). Success of hemostasis 72h after endoscopic variceal ligation (EVL) was that patients did not vomit blood nor produce black feces. The effectiveness of EVL for iradication of the variceal cluster was classified into three levels: good, fairly good and poor. Result: The hemostasis success in group 1 (LC accompanied by HCC) and group 2 (LC with digestive bleeding due to esophageal varices) was 73.3 percent and 93.4 percent respectively. The success breaking the varix cluster in group 2 (LC) and group 3 (with high risk of digestive bleeding and treated by prophylatic ligation) was 73.3 percent and 80 percent, respectively. The rate of re-bleeding in group 2 and group 3 after 1 year was 20 percent and 13.3 percent respectively. Conclusion: Endoscopic variceal ligation is a good technique for variceal hemostasis and eradication of the esophageal varices cluster.