Document Detail


Three years experience with endoscopic variceal ligation for treatment of bleeding varices.
MedLine Citation:
PMID:  1505488     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endoscopic variceal ligation (EVL) was developed as an alternative to endoscopic variceal sclerosis (ES) because of the high complication rate seen with ES. The new technique involves placement of small elastic bands around the variceal channels in the distal esophagus. The first 146 consecutive patients treated with EVL during the period from August, 1986 to July, 1989 are reported. Portal hypertension was caused by alcoholic liver disease in 93 of these patients. The average age of the patients was 53 years and 66% were males. All of the patients had recently bled from esophageal varices. At the time of treatment, 23% of the patients were actively bleeding. They were all treated acutely with EVL and had repeated treatments with the long-term goal of variceal eradication. The overall survival was 73%. Varices were eradicated or reduced to grade one in 78% of the 125 patients who were followed for more than 30 days. Variceal eradication required a mean of 5.5 sessions. Recurrent bleeding occurred in 44% of the total patient population. There were no major complications from EVL. It is concluded from this non-randomized experience that EVL is an effective treatment for bleeding esophageal varices and that it appears to be as effective as sclerotherapy with fewer complications.
Authors:
J S Goff; R M Reveille; G V Stiegmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Endoscopy     Volume:  24     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-09-22     Completed Date:  1992-09-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  401-4     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Colorado Health Science Center, Denver.
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MeSH Terms
Descriptor/Qualifier:
Esophageal and Gastric Varices / etiology,  surgery*
Esophagoscopy / methods*
Female
Gastrointestinal Hemorrhage / etiology,  surgery*
Humans
Hypertension, Portal / complications
Ligation
Male
Middle Aged
Sclerotherapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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