Outcome of Endoscopic Variceal Band Ligation

Journal of Nepal Medical Association

article

Barun Shrestha¹  Sudhamshu KC²  Sita Ram Chaudhary¹  Bhupendra Kumar Basnet¹  Amrendra Kumar Mandal¹  Nandu Silwal Poudyal¹ 

[1] Gastroenterology Unit, Department of Medicine, NAMS, Bir Hospital;Hepatology Unit, Department of Medicine, NAMS, Bir Hospital

关键词: acute variceal bleeding;    cirrhosis;    endoscopic variceal ligation;    large varices;    red color sign.;   

DOI  :  10.31729/jnma.3131

学科分类：社会科学、人文和艺术（综合）

来源: Nepal Medical Association since

【 摘 要 】

Introduction: Bleeding from esophageal varices in cirrhosis is an emergent condition with high mortality. One of the preferred modality of treating esophageal varices is EVL. We aimed to find out the outcome of EVL in controlling acute esophageal variceal bleeding, prophylactic banding to prevent future bleeding and the number of sessions required for complete eradication of varices.Methods: This descriptive observational study was carried out in Gastroenterology and Hepatology unit of Bir Hospital, NAMS from June 2016 to May 2017. Consecutive cases who presented in emergency room with acute variceal bleeding due to liver cirrhosis and cases of liver cirrhosis with large varices and red color signs on endoscopic examination were enrolled. They underwent EVL and subsequent re-endoscope at one month interval till the eradication of varices was achieved. Results: Among 83 patients, 15 (18.1%) were of Child Pugh class A, 29 (34.9%) B and 39 (47%) were of C. In 20 (24.1%) cases varices could be eradicated in one session of EVL while 57 (68.7%) required two sessions and in 6 (7.2%) cases it took three sessions. Total average EVL session required for obliteration of esophageal varices was 1.84±0.53. There was only one (1.2%) of early re-bleeding post EVL.Conclusions: EVL is an effective modality of treatment in controlling acute esophageal variceal bleeding, in preventing future variceal bleeding as well as in eradicating esophageal varices, with very few complications.

【 授权许可】

CC BY