Hemorrhage of esophageal varices in child B and C patients. Results of sclerosing therapy

: In a 3-years period 51 patients with acute bleeding oesophageal varices with Child-stadium B and C were admitted to our department. Endoscopic sclerosing therapy was performed during emergency endoscopy. --The analysis of these patients indicates, that unsuccessful conservative treatment before endoscopic sclerosing therapy has a negative influence on the outcome of our patients. This fact should be kept in mind when results of this study are compared with other studies. Fatal prognostic criteria are early recurrent bleeding within the first 24 h after emergency endoscopy, thrombocytopenia and a deficiency of fibrinogen. The latter is an indication for ballon tamponade of the varices in the distal oesophagus even after successful endoscopic hemostasis.