Endoscopic hemostatic ligation for ruptured oesophageal varices

ABSTRACT

From November 1997 to March 1998, 30 patients with ruptured oesophageal varices-caused gastrointestinal hemorrhage underwent the endoscopic variceal ligation by rubber ring. Age of patients ranged from 20 to 78 years. Male to female ratio is 2 to 1. Endoscopic imaging showed grade III of oesophageal varices in 29 patients, spread or spurt bleeding in 21 patients, point bleeding in 9 patients. Emergency hemostatic was performed successfully in 90.47% of the patients. 65.5% of the patients have complete elimination of oesophageal varices within 30 days and by 3 months after procedure, this rate risen to 82.75%. Adverse events and complications of oesophageal variceal ligation were temporary and resolved within some days. The common events were involved in oesopharyngeal region, such as sore throat, bleeding and oesophageal ulcer after the ligation.