Endoscopic variceal ligation using multiband ligator.
Esophageal variceal bleed in children is treated with endoscopic sclerotherapy (EST), which is associated with significant complications. Endoscopic variceal ligation (EVL) was found to be more effective and safe in adults. Use of EVL in children has not been studied much. Thirteen consecutive children (mean age 9.4 years) with variceal bleed were subjected to EVL by multi band ligator. Varices were eradicated in 2.8 sessions (range 2-4) and one patient had bleed during procedure. No other complications were noted. EVL could not be performed in 2 children less than 3 years of age.
Pokharna
R K
RK
Departments of Gastroenterology and Pediatrics, S.P. Medical College, Type III 8, Medical College Campus, Bikaner (Rajasthan) 334 003, India. rkpokharna2@rediffmail.com
Kumar
Sunil
S
Khatri
P C
PC
Chahar
C K
CK
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation / Q000295:instrumentation; D008297:Male; D016896:Treatment Outcome