Therapeutic results of endoscopic variceal ligation for acute bleeding of oesophageal and gastric varices

被引:23
作者
Harada, T
Yoshida, T
Shigemitsu, T
Takeo, Y
Tada, M
Okita, K
机构
[1] First Dept. of Internal Medicine, Yamaguchi University, School of Medicine, Ube
[2] First Dept. of Internal Medicine, Yamaguchi University, School of Medicine, Kogushi, Ube-City, Yamaguchi-Ken
关键词
acute bleeding; endoscopic variceal ligation; endoscopic variceal ligation using detachable snares; gastric varices; oesophageal varices;
D O I
10.1111/j.1440-1746.1997.tb00430.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic variceal ligation (EVL) using 'O' rings is widely accepted as a treatment of oesophageal varices that is at least as effective as endoscopic injection sclerotherapy but which produces fewer complications. Endoscopic variceal ligation using detachable snares has attracted attention as a safe and easy method of endoscopic treatment for gastric varices. Nineteen patients with acute bleeding from oesophageal or gastric varices were treated in the present study. Of these, 14 patients were treated with EVL using 'O' rings and five patients were treated with EVL using detachable snares and the treatment results were evaluated. Haemostasis was achieved in all patients. No serious complications of the procedures were observed. However, recurrences and rebleeding were observed in some patients during the maximum follow-up period of 24 months. Endoscopic variceal ligation using 'O' rings and detachable snares is useful for achieving haemostasis in cases of acute bleeding from oesophageal or gastric varices. However, additional endoscopic sclerotherapy may be needed to eliminate the variceal feeding vessels to further improve the long-term prognosis of these patients.
引用
收藏
页码:331 / 335
页数:5
相关论文
共 19 条
[1]  
AOKI H, 1986, ACTA HEPATOL JPN, V27, P1606
[2]  
GIMSON A, 1994, LANCET, V343, P116
[3]   ENDOSCOPIC INJECTION SCLEROTHERAPY FOR 1,000 PATIENTS WITH ESOPHAGEAL-VARICES - A 9-YEAR PROSPECTIVE-STUDY [J].
HASHIZUME, M ;
KITANO, S ;
KOYANAGI, N ;
TANOUE, K ;
OHTA, M ;
WADA, H ;
YAMAGA, H ;
HIGASHI, H ;
ISO, Y ;
IWANAGA, T ;
SUGIMACHI, K .
HEPATOLOGY, 1992, 15 (01) :69-75
[4]   A TRANSPARENT ENDOSCOPIC ELASTIC BAND LIGATING DEVICE [J].
HASHIZUME, M ;
OHTA, M ;
UENO, K ;
TOMIKAWA, M ;
KITANO, S ;
SUGIMACHI, K .
GASTROINTESTINAL ENDOSCOPY, 1993, 39 (05) :686-688
[5]  
KOBAYASHI M, 1992, ENDOSC DIG, V4, P999
[6]  
Liver Cancer Study Group of Japan, 1992, GEN RUL CLIN PATH ST
[7]   ENDOSCOPIC INJECTION SCLEROTHERAPY VS ENDOSCOPIC VARICEAL LIGATION IN ARRESTING ACUTE VARICEAL BLEEDING FOR PATIENTS WITH ADVANCED HEPATOCELLULAR-CARCINOMA [J].
LO, GH ;
LAI, KH ;
CHANG, CF ;
SHEN, MT ;
JENG, JS ;
HUANG, RL ;
HWU, JH .
JOURNAL OF HEPATOLOGY, 1994, 21 (06) :1048-1052
[8]   ETHANOLAMINE OLEATE VERSUS BUTYL CYANOACRYLATE FOR BLEEDING GASTRIC VARICES - A NONRANDOMIZED STUDY [J].
OHO, K ;
IWAO, T ;
SUMINO, M ;
TOYONAGA, A ;
TANIKAWA, K .
ENDOSCOPY, 1995, 27 (05) :349-354
[9]   ENDOSCOPIC SCLEROTHERAPY IN THE TREATMENT OF GASTRIC VARICES [J].
SARIN, SK ;
SACHDEV, G ;
NANDA, R ;
MISRA, SP ;
BROOR, SL .
BRITISH JOURNAL OF SURGERY, 1988, 75 (08) :747-750
[10]  
SEE A, 1986, GASTROEN CLIN BIOL, V10, P604