الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of this study was to determine bactereamia incidence following variceal sclerotherapy and band ligation for management of esophageal varices for prophylactic use of antibiotics. Conclusion The frequency of bacteraemia after endoscopic variceal band ligation (EVL) is reported to be lower when compared to that after endoscopic variceal sclerotherapy (EVS). Thus, EVL might be preferable to EVS. In the EVS group bacteremia is more common due to the more frequent use of emergency sclerotherapy. Bacteremia after endoscopic treatment of variceal bleeding is highly related to the severity of liver cirrhosis (more advanced Child class) and the association with more advanced liver disease (hepatic focal lesions). The choice between EIS and EVL depends on the skill of the endoscopic unit. For highly experienced surgeons facing no complications, sclerotherapy seems to be preferable; for all others, it is technically easier to perform ligation. |