Endoscopic Variceal Ligation for Treatment of Bleeding Esophageal Varices.
- Author:
Jae Dong LEE
;
Jun Hwan CHO
;
Sung Jin KWAK
- Publication Type:Original Article
- Keywords:
Esophageal varix;
Endoscopic variceal ligation
- MeSH:
Ascites;
Deglutition Disorders;
Esophageal and Gastric Varices*;
Female;
Hematemesis;
Hemorrhage*;
Hepatic Encephalopathy;
Humans;
Incidence;
Ligation*;
Male;
Mortality;
Thorax;
Upper Gastrointestinal Tract;
Varicose Veins
- From:Korean Journal of Gastrointestinal Endoscopy
1994;14(4):397-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The endoscopic variceal ligation(EVL) has been adopted as a new treatment for acute hemorrhage from esophageal varices that ranks the highest mortality rate in upper gastrointestinal tract bleedings. This treatment method has good effects for the urgent treatment and eradication of varices from acute variceal bleeding in repeated sessions. We enrolled 34 patients with an acute or chronic variceal bleeding episode at the time of admission in this study from Apr. 8, 1992 to June. 2, 1994. Among 34 patients, there were 31 males and 3 females, at ages between 45-66(mean: 52 years). The incidence of symptoms on admission was 10 in tarry stool, 9 in hematemesis 8 in ascites, 4 in hepatic encephalopathy and 3 in nonspecific symptoms. Varices were eradicated or reduced to grade I in 30(88.2%) of the 34 patients by 4-25 bands (mean: 10.8 bands) in 1-7 EVL sessions(mean: 3.1 sessions). After EVL, there are complicated by active bleeding in 3 patients, dysphagia in 3 patienta and transient chest discomfort in 5 patients but subsided during 24 hours. These results indicated that EVL is a safe method for treatment of bleeding from esophageal varices.
