Comparison of betablockers and endoscopic variceal band ligation (EVBL) for secondary prevention of variceal bleed in cirrhotics.

نویسندگان

چکیده

Objective: To compare the efficacy of pharmacological and endoscopic procedures (band ligation) in preventing variceal bleed. Study Design: Randomized Control Trial. Setting: MU-I Allied Hospital Faisalabad. Period: January to June 2020. Material & Methods: 80 patients were enrolled after fulfilling exclusion inclusion criteria, divided into two groups. Group A, treated Carvedilol 6.25-12.5mg pulse rate 60-70 beats per minute. B underwent repeated ligation), every 2 weeks until obliteration varices was achieved. Surveillance endoscopy done one month later. Follow up by telephonic contact at 3 months. Results: In our study, mean age 52.88+9.29 53.57+8.85 years Group-A B, 42.5%(n=17) 50%(n=20) Group-B male, 57.5%(n=23) female group Recurrence bleeding drug comparison showed that 7.5%(n=3) 27.5%(n=11) had a recurrence bleed while 92.5%(n=37) 72.5%(n=29) no bleed, p-value (0.01) significant. Conclusion: Beta-blocker (Carvedilol) is more efficacious for than Endoscopic Band Ligation.

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ژورنال

عنوان ژورنال: The professional medical journal

سال: 2022

ISSN: ['1024-8919', '2071-7733']

DOI: https://doi.org/10.29309/tpmj/2022.29.10.6960