Evaluation of the effects of dense endoscopic ligation for bleeding esophageal varices / 中华肝脏病杂志
Chinese Journal of Hepatology
;
(12): 294-296, 2005.
Article
in Chinese
| WPRIM
| ID: wpr-349132
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the short-term and long-term effects of dense endoscopic variceal ligation (DEVL) for bleeding esophageal varices.</p><p><b>METHODS</b>Patients with acute or with a history of esophageal variceal bleeding underwent regular DEVLs with a 2-3 week interval between 2 sessions until their varices disappeared at the lower 5-6 cm part of the esophagus. Follow-up study and gastroscopy were performed at 3, 6 and 12 months after the final DEVL in all patients. The results at 3 months were classified as short-term effects and those after 6 months as long-term ones.</p><p><b>RESULTS</b>126 patients underwent DEVLs with 403 sessions and 3641 ligations; each patient was ligated with a mean of 3.2 sessions and at 28.9 points. The cure rate of acute variceal bleeding was 100.0%; short-term rate of variceal eradication was 94.4% and variceal rebleeding occurred in 3.9% patients. After a mean of 22.3 months follow-up period, the recurrence of esophageal varices was observed in 11.9% patients, but the variceal rebleeding rate was only 3.2% and no patients died from it.</p><p><b>CONCLUSION</b>DEVL was very useful and effective in both short-term and long-term variceal eradication and prevention of variceal rebleeding.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Esophageal and Gastric Varices
/
Esophagoscopy
/
Treatment Outcome
/
Gastrointestinal Hemorrhage
/
Ligation
/
Liver Cirrhosis
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Hepatology
Year:
2005
Type:
Article
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