Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
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2008-07Metadata
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Vargas T., Ling
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Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
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Abstract
The better treatment modalities for bleeding
esophageal varices have improved the prognosis of cirrhosis. Aim: To inquire about diagnostic
and treatment modalities for esophageal bleeding in Chile. Material and methods: An
enquiry about diagnosis and treatment of esophageal bleeding was designed and electronically
sent to public and private health institutions that could admit patients and were located in
cities with more than 100,000 inhabitants. Results: The enquiry was answered by 31 of 35
public and 17 of 19 private health institutionis that were consulted. Emergency endoscopy was
available in 6 of 27 public and in the 16 private institutionis that had an emergency room.
Rubber band ligation was available in 16 public (52%) and in all private institutions.
Cyanoacrylate injections were done in 10 public (32%) and 11 (65%) private institutions. No
public institution installed transjugular intrahepatic portosystemic shunts, but 8 had occasional
access to this technique. This procedure was done in 7 (41%) private institutions and all had
access to it. Surgical treatment was feasible in 20 public (65%) and all private institutions.
Primary prophylaxis was done in 18 public (58%) and 14 private (82%) institutions. Secondary
prophylaxis was carried out in 26 public (84%) and 16 private (94%) institutions.
Conclusions: Public health institutions have poor access to adequate diagnostic and treatment
methods for esophageal bleeding. The primary and secondary prophylaxis of esophageal varices
must be improved in both types of institutions
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REVISTA MEDICA DE CHILE, Volume: 136, Issue: 7, Pages: 837-843, 2008
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