scholarly journals Endoscopic band ligation for transverse colonic variceal bleeding: case report and review of the literature

2020 ◽  
Vol 40 (3) ◽  
pp. 255-258
Author(s):  
Shan Xie ◽  
Ming Fang Ruan ◽  
Jiang Wang ◽  
Min Bi Li
Keyword(s):  
Liver Cirrhosis ◽  
Variceal Bleeding ◽  
Abdominal Distension ◽  
Hepatic Flexure ◽  
Gastroesophageal Varices ◽  
Acute Bleeding ◽  
Band Ligation ◽  
Colonic Varices ◽  
Communicating Branch ◽  
Endoscopic Band Ligation

ABSTRACT Colonic varices are lesser-known in comparison with gastroesophageal varices in a complication associated with liver cirrhosis. The ideal therapeutic intervention for a colonic varix is still unclear. We report a 42 year-old man with 20 years of alcohol use who presented with hematochezia and abdominal distension. The patient was diagnosed with alcoholic liver cirrhosis. The colonoscopy revealed a dilated and tortuous varix in the transverse colon close to the hepatic flexure with oozing blood, a communicating branch and with “red sign”, evidence of acute bleeding. Endoscopic band ligation (EBL), the most useful intervention for esophageal varices, was further successfully performed to arrest the bleeding colonic varices. One month after initial treatment, the colonic varices nearly vanished and were replaced by an ulcer. It is extremely rare for colonic varices to be treated with EBL. There is only one similar case in reported literature, but it seems to be safe and effective as an intervention for EBL for acute colonic variceal bleeding. SIMILAR CASES: Second case treated by endoscopic band ligation.

scholarly journals Does sclerotherapy of remnant little oesophageal varices after endoscopic ligation have impact on the reduction of recurrent varices?: Prospective study

2011 ◽  
Vol 139 (5-6) ◽  
pp. 328-332 ◽  
Author(s):  
Sasa Grgov ◽  
Perica Stamenkovic
Keyword(s):  
Variceal Bleeding ◽  
Injection Sclerotherapy ◽  
Oesophageal Varices ◽  
Endoscopic Injection ◽  
Band Ligation ◽  
Significant Difference ◽  
Endoscopic Band Ligation ◽  
The Difference ◽  
Variceal Recurrence ◽  
Endoscopic Ligation

Introduction. Endoscopic band ligation (EBL) is superior to endoscopic injection sclerotherapy (EIS) of oesophageal varices, however, EBL is associated with a higher rate of variceal recurrences. Objective. To examine whether the reduction of recurrent varices can be achieved by additional sclerotherapy of remnant little varices after ligation. Methods. Forty-eight patients with liver cirrhosis who had previously bled from oesophageal varices were examined. Endoscopic therapy was performed in order to prevent recurrent variceal bleeding. I group: in 23 patients ligation of oesophageal varices with multi band ligation device was applied (EBL group). II group: in 25 patients sclerotherapy using polydocanol or absolute alcohol was applied after reducing the size of varices using ligation (EBL and EIS group). Results. There was no statistically significant difference between the examined groups of patients in relation to the number of sessions for variceal eradication, recurrence of variceal bleeding, deterioration of portal gastropathy and mortality in the observed period from 18.8?18.6 months (EBL group) and 22.2?26.2 months (EBL and EIS group). Variceal recurrence was verified in 21.7% of patients of the EBL group and 16% of the EBL and EIS group, but the difference was not statistically important. Several complications, such as dysphagia and chest pain, were statistically more frequent in the EBL and EIS group of patients. Conclusion. The combined method of ligation and extra sclerosing of remnant small oesophageal varices after ligation does not have advantage in relation to the ligation alone.

Clinical outcomes of sedation during emergency endoscopic band ligation for variceal bleeding: Multicenter cohort study

2020 ◽  
Vol 32 (6) ◽  
pp. 894-903
Author(s):  
Chan Hyuk Park ◽  
Se Woo Park ◽  
Jang Han Jung ◽  
Gyeong Guk Kim ◽  
Se Young Choi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Outcomes ◽  
Variceal Bleeding ◽  
Multicenter Cohort Study ◽  
Band Ligation ◽  
Multicenter Cohort ◽  
Endoscopic Band Ligation

Ectopic Embolism after Endoscopic Glue Injection

2021 ◽  
Vol 01 ◽  
Author(s):  
Ji Feng ◽  
Shixue Xu ◽  
Xiaozhong Guo ◽  
Xingshun Qi
Keyword(s):  
Liver Cirrhosis ◽  
Variceal Bleeding ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Upper Gastrointestinal Endoscopy ◽  
Current Case ◽  
Band Ligation ◽  
Tissue Glue ◽  
History Of ◽  
Glue Injection

: A 55-year-old male with a 7-year history of liver cirrhosis was admitted to our department due to recurrent hematemesis and melena. He had been treated with endoscopic tissue glue injection and/or band ligation for gastroesophageal variceal bleeding. He denied any history of viral hepatitis infection or alcohol abuse. At this admission, his pulse rate was 88b.p.m., and blood pressure was 110/51mmHg. Hemoglobin concentration was 81g/L, platelet count was 38X109/L, total bilirubin was 28.4umol/L, and albumin was 24.2g/L. Except for ascites, splenomegaly, and portal vein thrombosis, contrast-enhanced computed tomography scans showed high density within gastric fundal varices, gastro-renal shunt, left renal vein, and inferior vena cava (arrows), suggesting a diagnosis of ectopic embolism from tissue glue injected during a prior endoscopic procedure. Upper gastrointestinal endoscopy demonstrated esophageal varices, post-endoscopic gastric fundal glue removal, and portal hypertensive gastropathy. Esophageal variceal ligation was performed. After that, he was discharged without any other complaints. Currently, endoscopic variceal therapy, mainly including variceal band ligation, sclerotherapy, glue injection, and haemostatic powder spraying is the mainstay treatment option of acute variceal bleeding in liver cirrhosis [1]. There is a benefit of endoscopic glue injection for gastric fundal variceal bleeding in terms of increasing the rate of initial hemostasis and reducing the rate of rebleeding as compared to variceal band ligation [2-3]. Therefore, endoscopic glue injection has been widely employed in cirrhotic patients with gastric variceal bleeding. However, there are some severe complications related to endoscopic glue injection [4-5], especially thromboembolism. The current case further showed a possibility of asymptomatic ectopic embolism after endoscopic glue injection, suggesting that a close surveillance of embolism within portosystemic collateral vessels should be necessary.

A prospective randomised comparative study of endoscopic band ligation versus injection sclerotherapy of bleeding internal haemorrhoids in patients with liver cirrhosis

2012 ◽  
Vol 13 (2) ◽  
pp. 77-81 ◽  
Author(s):  
Atif ElSayed Awad ◽  
Hanan Hamed Soliman ◽  
Sabry Abdel Latif Abou Saif ◽  
Abdel Monem Nooman Darwish ◽  
Samah Mosaad ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Comparative Study ◽  
Injection Sclerotherapy ◽  
Band Ligation ◽  
Endoscopic Band Ligation
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