{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T06:25:20Z","timestamp":1763619920053},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,5,28]],"date-time":"2013-05-28T00:00:00Z","timestamp":1369699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2013,7]]},"abstract":"Objective<\/jats:title>To compare the efficiency of percutaneous transhepatic variceal embolization (PTVE<\/jats:styled-content>) plus endoscopic variceal ligation (EVL<\/jats:styled-content>) with EVL<\/jats:styled-content> alone in the treatment of esophageal variceal bleeding.<\/jats:p><\/jats:sec>Methods<\/jats:title>Cirrhotic patients with recent esophageal variceal bleeding from J<\/jats:styled-content>anuary 2007 to D<\/jats:styled-content>ecember 2011 were collected and assigned to PTVE\u2009+\u2009EVL<\/jats:styled-content> (N<\/jats:italic>\u2009=\u200941) or EVL<\/jats:styled-content> (N<\/jats:italic>\u2009=\u200947) groups. We performed chart reviews and prospective follow\u2010up to determine variceal rebleeding, recurrence of varices and survival.<\/jats:p><\/jats:sec>Results<\/jats:title>During the follow\u2010up period, recurrence of esophageal varices (EV) occurred in 8 patients (19.5%) in the PTVE\u2009+\u2009EVL<\/jats:styled-content> group and 23 (48.9%) in the EVL<\/jats:styled-content> group (P<\/jats:italic>\u2009=\u20090.004). The time to recurrence of EV was 9.2\u2009\u00b1\u20092.7 months and 4.9\u2009\u00b1\u20092.1 months, respectively. Three patients (7.3%) in the PTVE\u2009+\u2009EVL<\/jats:styled-content> group and 12 (25.5%) in the EVL<\/jats:styled-content> group experienced rebleeding from all sources (P<\/jats:italic> = 0.023). One patient (2.4%) in the PTVE\u2009+\u2009EVL<\/jats:styled-content> group and 7 (14.9%) in the EVL<\/jats:styled-content> group experienced rebleeding from EV (P<\/jats:italic> = 0.024). Multivariate C<\/jats:styled-content>ox analysis indicated that the treatment method was the only predictor of rebleeding. There was no significant difference in the survival rate between the two groups.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>With adequate and permanent obliteration of EV and their feeding veins, the combination of PTVE<\/jats:styled-content> with cyanoacrylate and EVL<\/jats:styled-content> is more effective than EVL<\/jats:styled-content> alone in the prevention and treatment of EV<\/jats:styled-content> recurrence and rebleeding.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.12049","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T04:27:25Z","timestamp":1361507245000},"page":"388-395","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Percutaneous transhepatic variceal embolization combined with endoscopic ligation for the prevention of variceal 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