VENO-OCCLUSIVE PROCEDURES FOR CONTROL OF BLEEDING OESOPHAGEAL VARICES (SCLEROTHERAPY VERSUS SURGERY).
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In 78 patients with bleeding oesophageal varices (cm 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-I managed by sclerotherapy and group-II 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-I and in 32.3% in group-II with statistically significant difference. Rebleeding occurred in 13.6% and 17.6%; ascites in 18% and 11.8%; encephalopathy 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.