| Endoscopic variceal ligation: an alternative to sclerotherapy. | |
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MedLine Citation:
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PMID: 2792677 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endoscopic variceal ligation (EVL) consists of mechanical ligation and thrombosis of varices using elastic "O" rings. This study assessed the efficacy and safety of EVL as definitive therapy for bleeding esophageal varices. During a 16-month period, 68 consecutive patients with bleeding varices had EVL. Fourteen patients died from 3 to 125 (median = 12.5) days after initial EVL. Fifteen (88%) of those actively bleeding at index treatment had bleeding controlled during index hospitalization. Survivors of index hospitalization had a 37% incidence of recurrent bleeding. Thirty-five patients had varices eradicated or reduced to small size with a median of five EVL treatments. No significant treatment-related nonbleeding complications resulted from 265 EVL sessions. EVL appears to control active variceal bleeding and eradicates varices with repeat treatments. EVL results in few nonbleeding complications, and may be employed as a safe alternative to sclerotherapy. |
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Authors:
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G V Stiegmann; J S Goff; J H Sun; D Davis; J Bozdech |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 35 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 1989 Sep-Oct |
Date Detail:
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Created Date: 1989-11-17 Completed Date: 1989-11-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 431-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Colorado Health Science Center, Denver 80262. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Embolization, Therapeutic Esophageal and Gastric Varices / complications, surgery* Esophagoscopy / methods Female Gastrointestinal Hemorrhage / etiology*, surgery Humans Ligation Male Middle Aged Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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