To decrease the EVR rate after EVL, we developed sequential therapy combining laparoscopic splenectomy and azygoportal disconnection (LSD) with periodical postoperative endoscopy every 3 months within the first postoperative year.
Patients who were 18-80 years old, had been diagnosed with cirrhosis due to any etiology, had a history of EVB and hypersplenism secondary to portal hypertension with a platelet (PLT) count of <50 x [10.sup.9]/L, did not suffer from portal vein system thrombosis (PVST) as demonstrated by ultrasonographic or computed tomography scan, had liver function of Child-Pugh A or B, had received EVL for EVB before LSD in order to manage emergency EVB and underwent LSD without conversion to laparotomy, had completed therapy, or died during the 12-month follow-up were included in the present study.
Results: Efficacy of terlipressin versus octreotide after EVL in prevention of early variceal rebleed was recorded as 87.69% (n=57) in group-A and 96.92% (n=63) in group-B while remaining 12.31% (n=8) in group-A and 3.08% (n=2) in group-B were not effectively treated, p-value was calculated as 0.04 which shows a significant difference in both groups.
Conclusion: Terlipressin was significantly more effective than octreotide once combined with EVL in preventing early variceal rebleed in our study.
C and L grading of I and II was labelled as EVL
, whereas grade III and IV are labelled as Difficult Visualization of Larynx (DVL).
It is now gradually being replaced by oesophageal varices band ligation which has shown better results in terms of variceal obliteration as well as having fewer side effects like ulceration, perforation and stricture formation than sclerotherapy.17 However, with increasing use of EVL
and sclerotherapy for oesophageal varices, the incidence of fundal varices has increased.
The acetone extracts of EVF and EVL
showed antimicrobial activity against M.
The girls overall combined EVL
champion was Mattson with Ringsdorf second.
's venture is only possible because of the company's relationship with J Williams & Co butchers, Denbigh, which is able to cut meat to the London market's exacting specifications.