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Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 May;38(5):521-5. doi: 10.3969/j.issn.1672-7347.2013.05.013.

[Influence of endoscopic variceal ligation on liver function and risk factors of rebleeding].

[Article in Chinese]

Author information

1
Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, China.

Abstract

OBJECTIVE:

To investigate the influence of endoscopic variceal ligation (EVL) on liver function and analyze the risk factors of rebleeding after EVL.

METHODS:

A total of 137 cirrhotic patients with esophageal varices who received EVL were retrospectively analyzed, and divided into group A, B, and C according to the Child-Pugh scores of liver function. We compared the liver function 1 week preoperatively and postoperatively. The patients were further divided into a rebleeding group and a non-rebleeding group after the EVL, and risk factors about rebleeding were analyzed.

RESULTS:

There was no significant difference on ALT, AST, T-Bil, and D-Bil either preoperatively or postoperatively in group A, B, and C (P>0.05). Thirteen patients (9.49%) rebled after the EVL. The course of disease, liver function, prothrombin time, and mass ascites were the risk factors of rebleeding.

CONCLUSION:

EVL has no obvious effect on liver function, and the course of disease, liver function, prothrombin time and mass ascites are risk factors of rebleeding after EVL.

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