Concomitant NSBB treatment does not increase efficacy of EBL in primary prophylaxis but improves survival in secondary prophylaxis of variceal bleeding
N Pfisterer, C Dexheimer, E Fuchs, T Bucsics, P Schwabl, M Mandorfer, T Pachofszky, W Dolak, M Bischof, C Schrutka-Kölbl, W Sieghart, A Ferlitsch, M Peck-Radosavljevic, M Trauner, C Madl, T Reiberger · Zeitschrift für Gastroenterologie · 2016 · Heft 05
Bibliografische Angaben
Zusammenfassung
Background: Endoscopic band ligation (EBL) is used for primary (PP) and for secondary prophylaxis (SP) of variceal bleeding in cirrhotic patients with gastro-esophageal varices (GEVs). While the addition of non-selective beta-blockers (NSBBs) to EBL is recommended for SP, in PP either EBL or NSBB should be used. Methods: Retrospective assessment of the efficacy of EBL for PP and SP of variceal bleeding in two tertiary care centers in Vienna. Rebleeding rates and transplant-free survival were assessed with and without concomitant NSBB therapy. Results: 766 patients with GEVs were treated with EBL. Among the 284 p…