Endoscopic Band Ligation for Non-variceal, Non-ulcer Gastrointestinal Hemorrhage and Post-polypectomy Hemorrhage.
- Author:
Won Ki BAE
1
;
You Sun KIM
;
Jeong Seop MOON
;
Jung Im RUE
;
Hui Kyoung SUN
;
Keun Woo HA
;
Eun Soon KIM
;
Jung Whan LEE
;
Gwang Hoon WOO
;
Young Bin JEON
;
Kwon YOO
Author Information
1. Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea. moonjs2@unitel.co.kr
- Publication Type:Original Article
- Keywords:
Gastrointestinal hemorrhage;
Polypectomy;
Band ligation
- MeSH:
Angiodysplasia;
Biopsy;
Consensus;
Gastrointestinal Hemorrhage*;
Hemorrhage*;
Hemostasis, Endoscopic;
Humans;
Ligation*;
Mallory-Weiss Syndrome;
Sclerotherapy
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(2):76-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: There is no consensus as to the best treatment for non-variceal, non-ulcer gastrointestinal hemorrhage. Endoscopic band ligation is an inexpensive, readily available, and easily learned technique in contrast to conventional thermal methods of endoscopic hemostasis. The purpose of this study is to define the effectiveness of endoscopic band ligation for non-variceal, non-ulcer gastrointestinal hemorrhage and post-polypectomy hemorrhage. METHODS: Twenty eight patients were treated by band ligation between July 1996 and October 2000. The lesions treated were: Dieulafoy's lesion in 13, Mallory-Weiss tear in 7, angiodysplasia in 1, post-polypectomy bleeding in 4, post-endoscopic mucosal resection bleeding in 2, post-endoscopic biopsy bleeding in 1. RESULTS: Endoscopic band ligation was successful in 25 of 28 cases. Additional sclerotherapy was necessary in two cases of Dieulafoy's lesion. The remaining case was early band detachment. CONCLUSIONS: Endoscopic band ligation is effective for non-variceal, non-ulcer bleeding. It has the advantage of ease of use and is relatively inexpensive.
