scholarly journals The Role of Hemoclips Reinforcement in the Ligation-Assisted Endoscopic Enucleation for Small GISTs in Gastric Fundus

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ge Nan ◽  
Sun Siyu ◽  
Wang Sheng ◽  
Liu Xiang ◽  
Guo Jintao
Keyword(s):  
Rubber Band ◽  
Gastric Fundus ◽  
Band Ligation ◽  
Endoscopic Band Ligation ◽  
Delayed Perforation ◽  
Transparent Cap ◽  
Endoscopic Enucleation ◽  
Ligation Site

Background.Endoscopic ultrasonography- (EUS-) assisted band ligation has been proven to be a safe and effective procedure for the treatment of small gastrointestinal stromal tumors (GISTs) apart from the relatively high risk of the postligation perforation of the gastric fundus. The aim of this study is to investigate the efficacy of hemoclip reinforcement in treating small GISTs in the gastric fundus.Method.During a standard endoscopy, a transparent cap attached to the endoscopic tip was placed over the lesion to exert sustained maximal aspiration before a rubber band was released. Once a definite ligation was confirmed by EUS, the tumor was enucleated. Four to 6 hemoclips were placed on the folds around the ligation band to reduce the tension of the ligation site.Results.The small GISTs were resected completely in 192 patients. Two cases of delayed perforation were found 72 hours after the procedure and successfully treated with an ordinary conservative method.Conclusion.Hemoclip-reinforced endoscopic band ligation with systematic follow-up using EUS appears to be a simple and effective technique for the resection of small GISTs in the gastric fundus.

scholarly journals Long-term follow-up in patients with gastric antral vascular ectasia (GAVE) after treatment with endoscopic band ligation (EBL)

2019 ◽  
Vol 07 (12) ◽  
pp. E1624-E1629 ◽  
Author(s):  
John Eccles ◽  
Vanessa Falk ◽  
Aldo J. Montano-Loza ◽  
Sergio Zepeda-Gómez
Keyword(s):  
Clinical Response ◽  
Argon Plasma Coagulation ◽  
Deficiency Anemia ◽  
Gastric Antral Vascular Ectasia ◽  
Band Ligation ◽  
Vascular Ectasia ◽  
Transfusion Requirements ◽  
Endoscopic Band Ligation

Abstract Background and study aims Gastric antral vascular ectasia (GAVE) is a capillary-type vascular malformation of the gastric antrum, usually diagnosed endoscopically in patients presenting with iron deficiency anemia or gastrointestinal bleeding. While there is established evidence for treatment with thermal modalities, such as argon plasma coagulation (APC) therapy, more recent studies have shown endoscopic band ligation (EBL) to be safe and effective in achieving remission. Our study aimed to evaluate long-term outcomes of patients with GAVE who underwent EBL at our institution. Patients and methods We retrospectively reviewed data from 33 patients with GAVE who underwent esophagogastroduodenoscopy and EBL between September 2012 and July 2017 within our institution, looking primarily at clinical response, recurrence, and blood transfusion requirements. Results Clinical response was achieved in 27 patients (81.8%). Among responders, recurrence-free survival decreased with time from 88 % at 1 year to 44 % at 2 years. Thirteen patients (48.1 %) had recurrence of GAVE at a mean time of 18.2 months (range 4.7 – 51.8). The only predictor of recurrence was greater number of pre-procedure blood transfusions. Conclusion This is the first study to evaluate long-term response and recurrence in patients with GAVE after treatment with EBL and predictors of clinical response after initial endoscopic therapy have been identified. While we were able to demonstrate excellent remission achievement rates in our GAVE patients who had undergone EBL, close clinical follow-up is clearly required as almost 50 % will have recurrence at around 18 months.

scholarly journals Sclerobanding (Combined Rubber Band Ligation with 3% Polidocanol Foam Sclerotherapy) for the Treatment of Second- and Third-Degree Hemorrhoidal Disease: Feasibility and Short-Term Outcomes

2021 ◽  
Vol 11 (1) ◽  
pp. 218
Author(s):  
Francesco Pata ◽  
Luigi Maria Bracchitta ◽  
Giancarlo D’Ambrosio ◽  
Salvatore Bracchitta
Keyword(s):  
Rubber Band Ligation ◽  
Rubber Band ◽  
Hemorrhoidal Disease ◽  
Long Term Outcomes ◽  
Short Term ◽  
Foam Sclerotherapy ◽  
Band Ligation ◽  
Safe Technique

Background: Sclerobanding is a novel technique combining rubber band ligation with 3% polidocanol foam sclerotherapy for the treatment of hemorrhoidal disease (HD). The aim of this study is to evaluate the feasibility, safety and short-term outcomes of sclerobanding in the treatment of second- and third-degree HD. Methods: A retrospective analysis of second- and third-degree HD cases from November 2017 to August 2021 was performed. Patients on anticoagulants or with other HD degrees were excluded. Follow-up was conducted at 1 month, 3 months, 6 months, 1 year and then every 12 months. Results: 97 patients with second- (20 pts; 20.6%) and third-degree (77 pts; 79.4%) HD with a mean age of 52 years (20–84; SD ± 15.5) were included. Fifty-six patients were men (57.7%) and forty-one women (42.3%). Median follow-up was 13 months (1–26 months). No intraoperative adverse events or drug-related side effects occurred. Minor complications occurred in four patients (4.1%) in the first 30 postoperative days and all resolved after conservative treatment at the 3-month follow-up visit. No mortality or readmissions were observed. Conclusions: Sclerobanding is a safe technique with a low rate of minor postoperative complications. Further studies on larger samples are necessary to establish the effectiveness and long-term outcomes of the technique.

scholarly journals Endoscopic band ligation compared to thermal therapy for gastric antral vascular ectasia: A systematic review and meta-analysis

2020 ◽  
pp. 205064062097524
Author(s):  
Jean M Chalhoub ◽  
Jalaluddin Umar ◽  
Kevin Groudan ◽  
Nour Hamadeh ◽  
David J Desilets ◽  
...  
Keyword(s):  
Adverse Events ◽  
Confidence Interval ◽  
Thermal Therapy ◽  
Gastric Antral Vascular Ectasia ◽  
Band Ligation ◽  
Vascular Ectasia ◽  
Transfusion Requirements ◽  
Endoscopic Band Ligation ◽  
The Mean

Background Gastric antral vascular ectasia is an infrequent cause of gastrointestinal-related blood loss manifesting as iron-deficiency anemia or overt gastrointestinal bleeding, and is associated with increased healthcare burdens. Endoscopic therapy of gastric antral vascular ectasia most commonly involves endoscopic thermal therapy. Endoscopic band ligation has been studied as an alternative therapy with promising results in gastric antral vascular ectasia. Aims The primary aim was to compare the efficacy of endoscopic band ligation and endoscopic thermal therapy by argon plasma coagulation for the management of bleeding gastric antral vascular ectasia in terms of the mean post-procedural transfusion requirements and the mean hemoglobin level change. Secondary outcomes included a comparison of the number of sessions needed for cessation of bleeding, the change in transfusion requirements, and the adverse events rate. Methods PubMed, Medline, SCOPUS, Google Scholar, and the Cochrane Controlled Trials Register were reviewed. Randomized controlled clinical trials and retrospective studies comparing endoscopic band ligation and endoscopic thermal therapy in bleeding gastric antral vascular ectasia, with a follow-up period of at least 6 months, were included. Statistical analysis was done using Review Manager. Results Our search yielded 516 papers. After removing duplicates and studies not fitting the criteria of selection, five studies including 207 patients were selected for analysis. Over a follow-up period of at least 6 months, patients treated with endoscopic band ligation had significantly lower post-procedural transfusion requirements (MD −2.10; 95% confidence interval (−2.42 − −1.77)) and a significantly higher change in the mean hemoglobin with endoscopic band ligation vs endoscopic thermal therapy (MD 0.92; 95% confidence interval (0.39 − 1.45)). Endoscopic band ligation led to a fewer number of required sessions (MD −1.15; 95% confidence interval (−2.30 − −0.01)) and a more pronounced change in transfusion requirements (MD −3.26; 95% confidence interval (−4.84 − −1.68)). There was no difference in adverse events. Conclusion Results should be interpreted cautiously due to the limited literature concerning the management of gastric antral vascular ectasia. Compared to endoscopic thermal therapy, endoscopic band ligation for the management of bleeding gastric antral vascular ectasia led to significantly lower transfusion requirements, showed a trend toward more remarkable post-procedural hemoglobin elevation, and a fewer number of procedures. Endoscopic band ligation may improve outcomes and lead to decreased healthcare burden and costs.

scholarly journals RUBBER BANB LIGATION

2007 ◽  
Vol 14 (01) ◽  
pp. 104-111
Author(s):  
DIL AWAIZ ◽  
GHULAM MURTAZA ◽  
ABID RASHEED ◽  
Quddus-ur- Rehman ◽  
Riaz Hussain
Keyword(s):  
Rubber Band Ligation ◽  
Digital Rectal Examination ◽  
Rubber Band ◽  
Lateral Position ◽  
Single Session ◽  
Band Ligation ◽  
Left Lateral Position ◽  
Operative Complications ◽  
Post Operative Complications

Objectives: To find out the post-operative complications of rubber band ligation in 2nd and 3rd degree of hemorrhoids. Design: A descriptive study. Place and Duration of study: An eighteen month study with 2 months follow up (from January 2002 to June 2003), conducted in the department of surgery, Allied Hospital Faisalabad. Patients and Methods: 50 patients were selected (from OPD) in this study. We included all patients with uncomplicated, primary 2nd and 3rd degree hemorrhoids, above 12 years of age and having no co morbid disorders like diabetes, hypertension and bleeding disorders. With patient in the knee elbow or left lateral position (depending upon the choice of patient) digital rectal examination (ORE)was carried out after lubricating the finger with xylocaine jelly. Proctoscopy was done with lubricated proctoscope and exact sites of hemorrhoids localized. The hemorrhoids were ligated one by one. We did triple ligation on a single session. Results: Out of 50 patients, 21(42%) patients were suffering from 2nd degree hemorrhoids, while 29(58%) patients were having 3rd degree. 42(84%) patients were fully cured, 3(6%) developed mild pain, 1(2%) developed severe pain and 2(6%) suffered from mild bleeding while 2(6%) patients developed moderate bleeding. Conclusion: Rubber band ligation is an effective method for treating 2nd or 3rd degree hemorrhoids with no significant post-operative complications. 

scholarly journals A multicenter analysis of the role of prophylactic transfusion of blood products in patients with cirrhosis and esophageal varices undergoing endoscopic band ligation

JHEP Reports ◽  
2021 ◽  
pp. 100363
Author(s):  
Annabel Blasi ◽  
Salvador Machlab ◽  
Raquel Risco ◽  
Joao Pedro Costa-Freixas ◽  
Geovanny Hernández-Cely ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Blood Products ◽  
Band Ligation ◽  
Multicenter Analysis ◽  
Endoscopic Band Ligation

Delayed perforation after endoscopic band ligation for colonic diverticular hemorrhage

2019 ◽  
Vol 13 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Yoshinori Sato ◽  
Hiroshi Yasuda ◽  
Asako Fukuoka ◽  
Hirofumi Kiyokawa ◽  
Masaki Kato ◽  
...  
Keyword(s):  
Band Ligation ◽  
Diverticular Hemorrhage ◽  
Endoscopic Band Ligation ◽  
Delayed Perforation ◽  
Colonic Diverticular Hemorrhage

scholarly journals A multicenter analysis of the role of prophylactic transfusion of blood products in patients with cirrhosis and esophageal varices undergoing endoscopic band ligation

2020 ◽  
Vol 73 ◽  
pp. S75
Author(s):  
Annabel Blasi ◽  
Salvador Machlab ◽  
Raquel Risco ◽  
Joao Pedro Costa-Freixas ◽  
Geovanny Hernández Cely ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Blood Products ◽  
Band Ligation ◽  
Multicenter Analysis ◽  
Endoscopic Band Ligation

scholarly journals Ambulatory management of Hemorrhoids by Rubber Band Ligation

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Shahzad Alam Shah
Keyword(s):  
Effective Treatment ◽  
Success Rate ◽  
General Hospital ◽  
Study Design ◽  
Randomized Study ◽  
Rubber Band Ligation ◽  
Rubber Band ◽  
Band Ligation ◽  
The Common

Objective: To evaluate the efficacy of rubber band ligation for the management of internal haemorrhoids. Study design: A prospective randomized study. Place and duration of study: Department of Surgery Lahore General Hospital conducted from April 1999 to June 2002. Subject/Methods: One hundred and eighty patients with II & III degree Hemorrhoids were treated with rubber band application. Results: About 562 band applications in 255 sessions were made. Follow up ranged from 3 to 50 months with a median follow up of 19 months. The common post procedural complaints were anal discomfort (78 patients), proctalgia (24 patients) and soiling (12 patients). The overall success rate of RBL was 91.7%. Conclusion: Ambulatory RBL should be considered as a safe and effective treatment for 2nd and 3rd degree symptomatic haemorrhoids and is associated with low morbidity.

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