Effect of band ligation or combined with tissue adhesive in the treatment of gastroesophageal varices and portal vein blood flow situational changes
10.3760/cma.j.cn501113-20190109-00001
- VernacularTitle:套扎或联合组织黏合剂治疗胃食管静脉曲张的疗效与门静脉血流的变化情况
- Author:
Yating XU
1
;
Jingjing WEI
;
Xiaojian YE
;
Dawu ZENG
;
Su LIN
;
Hua FAN
;
Chengdang WANG
;
Zehao ZHUANG
Author Information
1. 福建医科大学附属第一医院消化内镜中心，福州 350005
- Keywords:
Esophago-gas-tric fundal varices;
Tissue adhesives;
Elasticity imaging techniques
- From:
Chinese Journal of Hepatology
2021;29(5):468-471
- CountryChina
- Language:Chinese
-
Abstract:
42 cases with gastroesophageal varices were prospectively included. The groups were treated with endoscopic band ligation or combined with tissue adhesive. The results showed that the left gastric vein internal diameter, average blood flow velocity and blood flow volume after the treatment of band ligation combined with tissue adhesive were significantly lower than that of the treatment of band ligation alone, and the differences were statistically significant ( P < 0.05). Spleen and portal vein internal diameter, blood flow and average velocity, the liver and spleen size, shear wave velocity and liver function grade of the two groups after treatment did not change significantly ( P > 0.05). The effective rate of band ligation combined with tissue adhesive in the treatment of esophageal and gastric varices (66.67%, 52.38%) were higher than that of band ligation alone (42.85%, 23.81%) ( P > 0.05), and the re-bleeding rate of the latter was higher (9.52% and 19.05%, P > 0.05). Hence, it is suggested that the combined therapy is safe and more effective, and has no apparent effect on liver function and portal hypertension.
