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  1. Dokkyo Medical Journal
  2. 4(1) 2025

Significance of Adding the Mucosal Fibrosing Method to Endoscopic Injection Sclerotherapy to Suppress the Recurrence of Esophageal Varices

https://dmu.repo.nii.ac.jp/records/2000590
https://dmu.repo.nii.ac.jp/records/2000590
513af9b1-1190-48b8-bd76-4b5a41263c4e
名前 / ファイル ライセンス アクション
DKMJ-4-1-7.pdf DKMJ-4-1-7.pdf (451 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Significance of Adding the Mucosal Fibrosing Method to Endoscopic Injection Sclerotherapy to Suppress the Recurrence of Esophageal Varices
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme UDC
主題 argon plasma coagulation
キーワード
言語 en
主題Scheme Other
主題 endoscopic injection sclerotherapy
キーワード
言語 en
主題Scheme Other
主題 esophageal varices
キーワード
言語 en
主題Scheme Other
主題 mucosal fibrosing method
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Suzuki, Yuka

× Suzuki, Yuka

en Suzuki, Yuka

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Tominaga, Keiichi

× Tominaga, Keiichi

en Tominaga, Keiichi

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Abe, Yoko

× Abe, Yoko

en Abe, Yoko

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Kanamori, Akira

× Kanamori, Akira

en Kanamori, Akira

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Yamamiya, Akira

× Yamamiya, Akira

en Yamamiya, Akira

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Nagashima, Kazunori

× Nagashima, Kazunori

en Nagashima, Kazunori

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Kashima, Ken

× Kashima, Ken

en Kashima, Ken

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Kunogi, Yasuhito

× Kunogi, Yasuhito

en Kunogi, Yasuhito

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Sakuma, Fumi

× Sakuma, Fumi

en Sakuma, Fumi

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Inaba, Yasunori

× Inaba, Yasunori

en Inaba, Yasunori

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bibliographic_information en : Dokkyo Medical Journal

巻 4, 号 1, p. 49-56, 発行日 2025-03-25
item_10001_text_33
Original
内容記述
内容記述タイプ Abstract
内容記述 ntroduction: Esophageal varices are usually asymptomatic but can cause major bleeding if they rupture. Treatment with endoscopic procedures like variceal ligation and injection sclerotherapy is common. This study focuses on the efficacy of secondary sclerotherapy and mucosal cauterization following injection sclerotherapy, aiming to prevent variceal recurrence.

Methods: We performed a retrospective statistical review of the cases. 98 patients were included in this study and divided into three groups; ethanolamine oleate (EO) method with/without ligation (EO+/-L) (group A; n = 51), EO+/-L and aethoxysclerol (AS) method (group B; n = 11), and EO+/-L plus AS and the mucosal fibrosing method (MFM) (group C; n = 36).

Results: As there were only 11 cases in group B, it was difficult to conduct a statistical analysis of the three groups. Therefore, a comparative study was conducted between groups A and B (hereinafter referred to as group AB) and group C. There was a clear difference in the rate of recurrent esophageal varices bleeding, 12.2% in group AB and 0% in group C (Exp(B) = 0.022). There was a significant difference in the morphological recurrence rate of esophageal varices, which was 29.0% in the AB group and 11.1% in the C group (p = 0.025). Although further observation is needed due to the different observation periods, a clear difference in survival rate was also observed, 22.7% in the AB group and 5.6% in the C group (p = 0.036).

Conclusions: MFM is useful in preventing recurrence of esophageal varices.
言語 en
出版者
出版者 Dokkyo Medical Society
item_10001_source_id_9
収録物識別子タイプ EISSN
収録物識別子 2436-522X
item_10001_source_id_11
収録物識別子タイプ NCID
収録物識別子 AA12941861
item_10001_relation_14
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2024-024
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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