Endoscopic variceal ligation in patients who have failed endoscopic sclerotherapy
| Autor: | Francisco C. Ramirez, Zahid A. Saeed, Mary C. Hieser, Walter B. Dixon, Carolyn B. Winchester, Patrice A. Michaletz, Kim R. Gentry, Karen L. Woods |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty business.product_category medicine.medical_treatment Esophageal and Gastric Varices Recurrence Sclerotherapy medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Ligation medicine.diagnostic_test business.industry Gastroenterology Middle Aged Surgery Endoscopy Hemostasis Rubber band Radiology Esophagoscopy business Varices Complication Gastrointestinal Hemorrhage Follow-Up Studies |
| Zdroj: | Gastrointestinal endoscopy. 36(6) |
| ISSN: | 0016-5107 |
| Popis: | Endoscopic variceal ligation has been developed as an alternative to endoscopic sclerotherapy. We report a series of 12 men with a history of bleeding esophageal varices who were treated with endoscopic variceal ligation after they had failed sclerotherapy. Hemostasis was achieved in all 10 patients who were bleeding at the time of initial endoscopy and again in those who subsequently re-bled. Over a follow-up period of up to 22 months, varices have been and remain eradicated in five patients; in four others, a reduction in grade was noted before death (two patients), liver transplant, or loss to follow-up (one patient each); two patients died before they could be re-evaluated, while in the remaining patient, no reduction in variceal grade was noted before loss to follow-up. No complication was recorded after 35 endoscopic treatment sessions involving a total of 245 rubber band ligations. Our results indicate that endoscopic variceal ligation may be used with success in patients who fail sclerotherapy. |
| Databáze: | OpenAIRE |
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