Endoscopic variceal ligation for the treatment of bleeding esophageal varices

C. Y. Chen, C. Y. Lin, T. T. Chang, J. S. Shin, C. Y. Chen, C. C. Yang, T. C. Leow, M. J. Sheu, X. Z. Lin

研究成果: Article同行評審


Endoscopic variceal ligation is a new form of endoscopic treatment for bleeding esophageal varices. A prospective study was conducted to evaluate the efficacy of endoscopic variceal ligation in cirrhotic patients with bleeding varices. Fifty patients with bleeding esophageal varices received emergent endoscopic variceal ligation. Banding ligation was highly effective in controlling active hemorrhage in 23 of 26 patients (88%). Overall, 14 patients died during the study, only one during the initial course of EVE. Variceal obliteration was achieved in 35 patients (70%). The total number of treatment sessions for variceal eradication was 2.6 ± 1.1, and the time needed to eradicate all varices was 35.6 ± 13.1 days. Total number of rubber bandage used for variceal eradication was 16.7 ± 8.8, and the number at each session was 6.3 ± 2.1. Recurrent bleeding was noted in 11 patients (22%) during the follow-up period. All but three rebleeds occurred after eradication, including two gastric variceal bleeding and one esophageal variceal bleeding. We conclude that endoscopic ligation controls active variceal bleeding effectively and eradicates varices in fewer treatment sessions.

頁(從 - 到)7-13
期刊Chinese Journal of Gastroenterology
出版狀態Published - 1994

All Science Journal Classification (ASJC) codes

  • 消化內科


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