الرئيسية 
 عن اليمن 
 الحكومة اليمنية 
 معلومات قطاعية 
 عن المركز 
 خدمات الموقع 
نص إتفاق السلم والشراكة الوطنية
الموقع الفرعي الخاص بالسياحة
فيلم وثائقي عن المركز الوطني للمعلومات
">طباعة الصفحة خارطة الموقع الموقع الرئيسي / المحتوى المعلوماتي / طب

تأثير حقن دوالي المرئي لنزيف ما بعد العملية

الباحث:  د/ كمال عثمان إبراهيم باحكيم
الدرجة العلمية:  دكتوراه
تاريخ الإقرار:  2004م
نوع الدراسة:  رسالة جامعية

Abstract

 Introduction :

Bilharzial periportal  fibrosis is the commonest cause of portal hypertension in Sudan.   Injection sclerotherapy is the 1st  option of therapy for the oesophago gastric varices because it is cheap and available.

 It is more effective when  used for rebleeding post Hassab operation, as proved in this study. Post Hassab rebleeders need less sessions and volume.

Objective:

To document efficacy of scleroherapy in post  Hassab operation rebleeding  as less sessions of sclerotherapy are needed.

Design :

Retrospective study for 126 cases of injection sclerotherapy post Hassab operation in comparison to 100 cases treated with injection sclerotherapy only.

Methods:

Direct collection of data from the follow up register in endoscopic department in Ibn Sina Hospital with the guide of the staff there

Results:

Majority of our patients were farmers  and residentes of ElGezira which is the most endemic area with  Bilharzia  in Sudan.

 More than 26 patients (12%) had a period of 10 years without symptoms or signs of rebleeding revealing the efficacy of  Hassab operation.

Those who  rebled after Hassab operation were easily

Controlled by few sessions of injection sclerotherapy

Discussion :

Both injection sclerotherapy and Hassab were partially effective in controlling of the bleeding individually. Combination was more effective with the evidence of those rebleeding  post Hassab were easily controlled by less sessions and less volume sclerotherapy.

Conclusion:

By using primary simple protective measures catastrophic bilharzial complications can be avoided.

If happen injection schlerotherapy and Hassab operation are more popular and effective in our culture and more suitable because of low cost and simplicity.

More comparative studies are needed in combination therapy both retrospective and prospective according to the state of the patients.



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