Evaluation of treatment results for gastrointestinal bleeding due to varicose veins of the stomach by percutaneous transhepatic embolization at Thanh Hoa province general Hospital

Lê Văn Cường, Lê Quang Hòa, Quách Lương Thiện, Dương Quang Hiệp

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Abstract

Purpose: To evaluate the results of gastrointestinal bleeding due to varicose veins in the stomach by percutaneous transhepatic embolization at Thanh Hoa Province General Hospital
Methods: 31 cirrhotic patients with gastric varicose veins were treated by percutaneous transhepatic embolization at Thanh Hoa Province General Hospital from 04/2020 to 09/2020.
Results: Average age is 55.37 ± 8.95. The oldest patient is 78, the youngest being 36. 19 patients had symptoms of gastrointestinal bleeding
(61.2%) while 12 patients had no symptoms (38.8%). 24 patients have symptoms of gastrointestinal bleeding (77.4%). During endoscope, most patients had grade 3 of varicose veins of the stomach (90.3%). The number of red blood cells and hemoglobin after the intervention increased compared to the count prior to the intervention. 24 patients had gastro renal shunt (77.4%). Most patients recover well after the intervention, accounting for 96.8% of patients.
Conclusion: Percutaneous transhepatic embolization for gastrointestinal bleeding due to varicose veins of the stomach is a safe and effective method in patients with cirrhosis.

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References

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