Tauqeer Ahmad, Sheraz Saleem, Ansar Latif, Tanveer Hameed, Anila Ansar, Aftab Ahmad.
Incidence of Rebleeding after Treatment of Fundal Varices with Injection Cynoacrylate at Allama Iqbal Memorial Teaching Hospital Sialkot.
Pak J Med Health Sci Jan ;13(1):74-5.

Aim: To see the incidence of early re-bleeding in the treatment of fundal varices of stomach after injection of Cyanoacrylate. Study Design: Prospective study Duration and setting: This study was done in the Department of Medicine Allama Iqbal Memorial Teaching Hospital affiliated to Khawaja Muhammad Safdar Medical College, Sialkot from 1st July 2017 to 30th November 2018. Methods: All patients presenting and giving consent for treatment of varices at fundal area were included irrespective of age and gender. Patients had definite history of Malena and hemetemesis. On upper gastrointestinal tract there was evidence of bleeding i.e. red sign active ooze from fundal varix. Patients with porto systemic encephalopathy, Hepatocellular carcinoma with portal vein thrombosis and who had jaundice confirmed by serum bilirubin more than 10mg/dl and those with Cardiac disease were excluded from the study. Patients having Severe chronic obstructive pulmonary disease (PO2 <60mmHg) on arterial blood gases were also not included in the study. The patients were monitored for bleeding in the early post treatment period. Results: Mean age of the patients were 39.4+/- 9.8 years( Ranging from 17-62 years). In the distribution of patients by gender, 111 (72.34%) male and 44 (37.65%) female. In distribution of patients by frequency of early rebleed in patients with fundal varices, 13% (21) patients had early re-bleed and 86.45% pts did not have early rebleed. Conclusion: The frequency of early re-bleed in patients with fundal varices treated with Injection Cyanoacrylate is low, atour center. So it is an offers a safe, acceptable and effective treatment option for esophageal varices.

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