TY - JOUR A2 - Irisawa, Atsushi AU - Huang, Xiaoquan AU - Ma, Lili AU - Zeng, Xiaoqing AU - Wang, Jian AU - Chen, Jie AU - Chen, Shiyao PY - 2016 DA - 2016/12/26 TI - Endoscopic Approaches to the Treatment of Variceal Hemorrhage in Hemodialysis-Dependent Patients SP - 9732039 VL - 2016 AB - Background。Esophagogastric variceal hemorrhage leads to challenging situation in chronic kidney disease patients on maintenance hemodialysis. Aims。To determine the safety and efficacy of endoscopic approaches to patients with hemodialysis-dependent concomitant with esophagogastric varices. Methods。Medical records were reviewed from January 1, 2004, to December 31, 2015, in our hospital. Five consecutive hemodialysis-dependent patients with variceal hemorrhage who underwent endoscopic treatments were retrospectively studied. Results。病人的平均年龄是54岁(跑ge 34–67 years) and the median follow-up period was 21.3 months (range 7–134 months). All the patients received a total of three times heparin-free hemodialysis 24 hours before and no more than 24 hours and 72 hours after endoscopic treatment. They successfully had endoscopic variceal ligation, endoscopic injection sclerotherapy, and/or N-butyl cyanoacrylate injection. The short-term efficacy is satisfying and long-term follow-up showed episodes of rebleeding. Conclusions。Endoscopic approaches are the alternative options in the treatment of upper gastroenterology variceal hemorrhage in hemodialysis-dependent patients without severe complications. SN - 1687-6121 UR - https://doi.org/10.1155/2016/9732039 DO - 10.1155/2016/9732039 JF - Gastroenterology Research and Practice PB - Hindawi Publishing Corporation KW - ER -