الفهرس | Only 14 pages are availabe for public view |
Abstract Hemorrhage from ruptured esophageal varices is one of the most serious complications in patients with liver cirrhosis and portal hypertension. Endoscopic sclerotherapy of esophageal varices is effective in controlling variceal hemorrhage and reducing the frequency of rebleeding from varices. However, the technique is not without risks and several complications have been reported. These complications include esophageal ,erosion,, ulceration and stricture. Other complications may result from transient injury of the vagus nerve because there is close anatomical relation between the lower end of the esophagus and the vagus nerve. Pancreatic secretions are largely under vagal cholenlergic control and so they are prone to variable degrees of affections after sclerotherapy. This study was carried out on 16 male patients all of them had hypertension of proven bilharzial aetiology, had endoscopic evidence of esophageal varices, and were prepared to undergo endoscopic injection sclerotherapy. They were examined and investigated at the time of admission and 2-3 months later. Liver function, blood glucose level, insulin, c-peptide and glucagon were estimated. |