Improved survival in patients with refractory variceal bleeding treated with esophageal stents: A multicenter cohort study.

ABSTRACT:

Background & aims

Tamponade is a bridge therapy for refractory variceal bleeding. This study compared esophageal stents (ESs) and balloon tamponade (BT) in terms of early bleeding control and mortality.

Methods

We analyzed a cohort of patients with cirrhosis treated with tamponade in nine French hospitals between 2002 and 2023. The primary outcome was 6-week mortality. Multivariable analyses included Cox with time-dependent covariates and logistic regression models, adjusted for model for end-stage liver disease (MELD) score, rescue transjugular intrahepatic portosystemic shunt (rTIPS), and inverse probability of treatment weighting (IPTW) for ES.

Results

Sixty-three patients (87.3% male; mean age 55 years; 73.0% Child-Pugh C) were included. ES was used in 30 patients

SUBMITTER: Weil D 

PROVIDER: S-EPMC12657723 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature