[Elastic band ligation: preliminary experience in esophagogastric varices].
Endoscopic ligation is a new technique that shows an efficacy for acute hemorrhage and prevention similar to sclerotherapy. Its principal advantage is the smaller number of complications (2%), which seem to be related to the presence of post-treatment ulcers which are indeed more extensive but more superficial. In our preliminary study on 8 patients, eradication of varices in 62.5% was obtained. The mean number of bands placed at each ligation session was of 2.4 +/- 0.96 and the mean number of treatment sessions to achieve the eradication was 3.4 +/- 1.5. The complications that appear during the positioning of bands, a minimum bleeding was observed during the polyp formation, and in one occasion, the partial detachment of an eschar followed the bleeding was also observed. Rebleeding occurred in two patients (25%), and in other patient, spontaneous bacterial peritonitis was observed. The two patients who presented recurrent variceal bleeding, received a transjugular intrahepatic portosystemic shunt to control their hemorrhage.
Servicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid.
F
F
Pérez Roldán
P
P
Menchén Fernández-Pacheco
P
P
Jiménez
C
C
Senent
J I
JI
Castellote
F
F
García Durán
D
D
Castellanos
E
E
Cos
D000328:Adult; D000368:Aged; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical; D012008:Recurrence
Ligadura con bandas elásticas: experiencia preliminar en varices esofagogástricas.