Risk Factors Associated with Rebleeding and Recurrence Following Endoscopic Variceal Ligation.
- Author:
Sung Yun OH
1
;
Joon Hyoek LEE
;
Kwang Cheol KOH
;
Seung Woon PAIK
;
Suk Ho LEE
;
Moon Seok CHOI
;
Jong Kyun LEE
;
Kyu Taek LEE
;
Poong Lyul RHEE
;
Jae Jun KIM
;
Jong Chul RHEE
;
Kyu Wan CHOI
Author Information
1. Department of Medicine, Sungkyunkwan University College of Medicine Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Esophageal varices;
Endoscopic variceal ligation;
Rebleeding;
Recurrence
- MeSH:
Child;
Esophageal and Gastric Varices;
Follow-Up Studies;
Humans;
Ligation*;
Multivariate Analysis;
Recurrence*;
Risk Factors*;
Ulcer;
Varicose Veins
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(1):1-8
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
the first EVL was associated with rebleeding (p=0.01); whereas, age, Child class, grade and extent of varices, presence of gastric varices and/or portal hypertensive gastropathy, total number of bands and sessions for successful EVL were not (p >0.05). Persistence of esophageal ulcer at 2 weeks after the first EVL was associated with rebleeding also in multivariate analysis (relative risk 5.87, p=0.01). 3) In univariate analysis, grade (p=0.01) and extent (p=0.01) of varices were related to recurrence; whereas, age, Child class, presence of gastric varices and/or portal hypertensive gastropathy, total number of bands and sessions for successful EVL were not (p >0.05). In multivariate analysis, grade of varices was the only risk factor associated with recurrence (relative risk 3.76, p=0.01). CONCLUSIONS: 1) Persistence of esophageal ulcer at second week after the first EVL was associated with rebleeding. 2) Frequent follow-up endoscopic examinations are necessary in patients who present with high grade of varices since risk of recurrence is high even after successful EVL.
