Endoscopic Treatment of Esophageal Varices in Cirrhotic Patients: Band Ligation Versus Cyanoacrylate Injection

2007 ◽  
Vol 65 (5) ◽  
pp. AB107
Author(s):  
Marcus M. Santos ◽  
Rodrigo Azevedo Rodrigues ◽  
Luciano Lenz ◽  
Frank Nakao ◽  
Maria Rachel S. Rohr ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Endoscopic Treatment ◽  
Band Ligation ◽  
Cirrhotic Patients

scholarly journals Prospective study of bacteremia rate after elective band ligation and sclerotherapy with cyanoacrylate for esophageal varices in patients with advanced liver disease

2011 ◽  
Vol 48 (4) ◽  
pp. 248-251 ◽  
Author(s):  
Danielle Queiroz Bonilha ◽  
Lucianna Motta Correia ◽  
Marie Monaghan ◽  
Luciano Lenz ◽  
Marcus Santos ◽  
...  
Keyword(s):  
Liver Disease ◽  
Prospective Study ◽  
Esophageal Varices ◽  
Endoscopic Treatment ◽  
Advanced Liver Disease ◽  
Esophageal Variceal ◽  
Band Ligation ◽  
Diagnostic Endoscopy ◽  
Significant Difference ◽  
Cirrhotic Patients

CONTEXT: Band ligation (BL) is the most appropriate endoscopic treatment for acute bleeding or prophylaxis of esophageal variceal bleeding. Sclerotherapy with N-butyl-2-cyanoacrylate (CY) can be an alternative for patients with advanced liver disease. Bacteremia is an infrequent complication after BL while the bacteremia rate following treatment with CY for esophageal varices remains unknown. OBJECTIVES: To evaluate and compare the incidence of transient bacteremia between cirrhotic patients submitted to diagnostic endoscopy, CY and BL for treatment of esophageal varices. METHODS: A prospective study comprising the period from 2004 to 2007 was conducted at Hospital of Universidade Federal de São Paulo, UNIFESP, SP, Brazil. Cirrhotic patients with advanced liver disease (Child-Pugh B or C) were enrolled. The patients were divided into two groups according treatment: BL Group (patients undergoing band ligation, n = 20) and CY Group (patients receiving cyanoacrylate injection for esophageal variceal, n = 18). Cirrhotic patients with no esophageal varices or without indication for endoscopic treatment were recruited as control (diagnostic group n = 20). Bacteremia was evaluated by blood culture at baseline and 30 minutes after the procedure. RESULTS: After 137 scheduled endoscopic procedures, none of the 58 patients had fever or any sign suggestive of infection. All baseline cultures were negative. No positive cultures were observed after CY or in the control group - diagnostic endoscopy. Three (4.6 %) positive cultures were found out of the 65 sessions of band ligation (P = 0.187). Two of these samples were positive for coagulase-negative staphylococcus, which could be regarded as a contaminant. The isolated microorganism in the other case was Klebsiella oxytoca. The patient in this case presented no evidence of immunodeficiency except liver disease. CONCLUSIONS: There was no significant difference in bacteremia rate between these three groups. BL or CY injection for non-bleeding esophageal varices may be considered as low-risk procedures regarding bacteremia even when performed on patients with advanced liver disease.

scholarly journals Recurrence of esophageal varices after endoscopic band ligation: single centre experience

2012 ◽  
Vol 19 (2) ◽  
pp. 59-66 ◽  
Author(s):  
Laura MAŠALAITĖ ◽  
Jonas VALANTINAS ◽  
Juozas STANAITIS
Keyword(s):  
Recurrence Rate ◽  
Esophageal Varices ◽  
Endoscopic Treatment ◽  
Early Recurrence ◽  
High Recurrence Rate ◽  
Time Interval ◽  
Band Ligation ◽  
Study Results ◽  
Endoscopic Band Ligation ◽  
Variceal Recurrence

Background and objective. Endoscopic band ligation is the main endoscopic treatment for esophageal varices, but the main problem after endoscopic treatment is variceal recurrence. The aim of this study was to evaluate and determine the esophageal varices recurrence rate and the time interval after endoscopic band ligation and to investigate possible risk factors affecting recurrence. Material and methods. The retrospective analysis of endoscopic band ligation procedures, performed in Vilnius University Hospital Santariskiu Clinics during the period 2006–2010, was made. 133 endoscopic band ligation procedures were included in the study. Results. After endoscopic band ligation, esophageal varices recurred in 45% of cases. The early recurrence of esophageal varices occurred in 46.7% of cases. Extrahepatic portal hypertension and a greater size of varices lead to the statistically significant early recurrence of esophageal varices after endoscopic band ligation. Conclusions. Endoscopic band ligation is associated with a high recurrence rate of esophageal varices and half of these cases were indentified as early variceal recurrence.

Risk factors for post-banding ulcer bleeding in cirrhotic patients undergoing elective esophageal varices band ligation

2021 ◽  
Vol 53 ◽  
pp. S42
Author(s):  
G. Tosetti ◽  
E. Farina ◽  
R. Caccia ◽  
E. Degasperi ◽  
M. Primignani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Esophageal Varices ◽  
Ulcer Bleeding ◽  
Band Ligation ◽  
Cirrhotic Patients

scholarly journals Endoscopic band ligation versus propranolol for the primary prophylaxis of variceal bleeding in cirrhotic patients with high risk esophageal varices

2010 ◽  
Vol 9 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Rosa María Pérez-Ayuso ◽  
Sebastián Valderrama ◽  
Manuel Espinoza ◽  
Antonio Rollán ◽  
René Sánchez ◽  
...  
Keyword(s):  
High Risk ◽  
Esophageal Varices ◽  
Variceal Bleeding ◽  
Primary Prophylaxis ◽  
Band Ligation ◽  
Cirrhotic Patients ◽  
Endoscopic Band Ligation

scholarly journals Tu1182 PREDICTIVE FACTORS FOR THE ERADICATION OF ESOPHAGEAL VARICES IN CIRRHOTIC PATIENTS UNDERGOING ENDOSCOPIC BAND LIGATION.

2018 ◽  
Vol 87 (6) ◽  
pp. AB558
Author(s):  
Daniele Tavano ◽  
Stefano Pontone ◽  
Antonietta Lamazza ◽  
Rossella Palma ◽  
Cristina Panetta ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Esophageal Varices ◽  
Band Ligation ◽  
Cirrhotic Patients ◽  
Endoscopic Band Ligation

scholarly journals PREDICTORS OF VARICEAL BLEEDING AFTER ESOPHAGEAL VARICES BAND LIGATION IN EGYPTIAN CIRRHOTIC PATIENTS

2018 ◽  
Vol 24 (1) ◽  
pp. 80-92
Author(s):  
Sahar Zaghloul ◽  
Hoda El Hady ◽  
Hussein Hussein ◽  
Islam Hassan
Keyword(s):  
Esophageal Varices ◽  
Variceal Bleeding ◽  
Band Ligation ◽  
Cirrhotic Patients

scholarly journals Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Seung Woon Park ◽  
Yeon Seok Seo ◽  
Han Ah Lee ◽  
Sang Jung Park ◽  
Tae Hyung Kim ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Secondary Prophylaxis ◽  
Injection Sclerotherapy ◽  
Recurrence Rates ◽  
Endoscopic Injection ◽  
Gastroesophageal Varices ◽  
Band Ligation ◽  
Cirrhotic Patients ◽  
Endoscopic Band Ligation

Background and Aims. Cardiac varices (CVs) in patients with type 1 gastroesophageal varices (GOV1s) usually disappear with treatment for esophageal varices (EVs) by endoscopic injection sclerotherapy (EIS). However, whether this applies to patients treated with endoscopic band ligation (EBL) for EVs remains unclear. We evaluated the effect of EVs eradication by EBL on CVs.Methods. We included cirrhotic patients whose EVs had been eradicated using EBL and excluded those who had been treated using EIS, those who had received endoscopic therapy for CVs, and those who were combined with hepatocellular carcinoma.Results. A total of 123 patients were enrolled. The age was 59.7 ± 11.7 years, and 96 patients (78.0%) were men. Thirty-eight patients (30.9%) had EVs only, while 85 (69.1%) had GOV1s. After EVs eradication, the CVs disappeared in 55 patients (64.7%). EVs recurred in 40 patients, with recurrence rates at 1, 2, and 3 years of 16.0%, 29.6%, and 35.6%, respectively, the recurrence being more frequent in patients who had undergone EBL for secondary prophylaxis and in those with persisting CVs after EVs eradication (P=0.003).Conclusions. CVs frequently disappeared when EVs were eradicated using EBL in patients with GOV1s. Persistence of CVs after EVs eradication by EBL was associated with EVs recurrence.

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