Veno-occlusive procedures for control of bleeding Oesophageal varices (sclerotherapy versus Surgery).
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In 78 patients with bleeding oesophageal varices (OV) after liver biopsy performed in 64 of them denoted that bilharzial fibrosis with cirrhotic liver is the commonest etiologic factor (71.8%). Patients with modified Child's A and B classification were randomly allocated into group-l managed by sclerotherapy and group-ll subjected to surgery. Bleeding was controlled in both groups with no significant statistical difference, but complete eradication of the varices was achieved in 86.3% in group-l and in 32.3% in group-ll with statistically significant difference. Rebleeding occurred in 13.6% and 17.6%; ascites in 18% and 11.8%; encephaiopathy in 4.5% and 5.9% and mortality in 15.6% and 20.6% for both groups respectively, but the differences in these results were statistically not significant. It is considered that sclerotherapy is a good modality for managing bleeding OV and also for prevention of rebleeding.