Efficacy and Safety of Ligation Combined With Sclerotherapy for Patients With Acute Esophageal Variceal Bleeding in Cirrhosis: A Meta-Analysis

Frontiers in Surgery

article

Juan Su¹  Huilin Zhang²  Maifang Ren³  Yanan Xing¹  Yuefei Yin³  Lihua Liu¹ 

[1] Department of Gastrology Ward III, Xi'an International Medical Center Hospital;Department of Digestive Endoscopy and Treatment Center, Xi'an International Medical Center Hospital;Department of Gastrology Ward I, Xi'an International Medical Center Hospital

关键词: esophagogastric variceal bleeding;    endoscopic variceal ligation;    endoscopic injection sclerotherapy;    cirrhosis;    meta;    analysis;   

DOI  :  10.3389/fsurg.2021.664454

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective: To evaluate the efficacy and safety of endoscopic variceal ligation + endoscopic injection sclerotherapy (EVL+EIS) to control acute variceal bleeding (AVB). Methods: Online databases, including Web of Science, PubMed, the Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM) disc, VIP, and Wanfang, were searched to identify the studies comparing the differences between EVB+EIS and EVB, EIS from the inception of the databases up to December 30, 2020. STATA 13.0 was used for the meta-analysis. Results: A total of eight studies involving 595 patients (317 patients in the EVL group and 278 patients in the EVL+EIS group) were included. The results of the meta-analysis did not reveal any statistically significant differences in the efficacy of acute bleeding control ( P = 0.981), overall rebleeding ( P = 0.415), variceal eradication ( P = 0.960), and overall mortality ( P = 0.314), but a significant difference was noted in the overall complications ( P = 0.01). Conclusion: EVL is superior to the combination of EVL and EIS in safety, while no statistically significant differences were detected in efficacy. Further studies should be designed with a large sample size, multiple centers, and randomized controlled trials to assess both clinical interventions.

【 授权许可】

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