Adverse events in the endoscopic sclerosis of esophageal varices

1990 ◽  
Vol 20 (S1) ◽  
pp. 252-252
Author(s):  
A. Zambelli ◽  
F. De Grazia
Keyword(s):  
Adverse Events ◽  
Esophageal Varices ◽  
Endoscopic Sclerosis

scholarly journals Outcome of Esophageal Variceal Ligation in Cirrhotic Patients: Experience in a Tertiary Care Hospital in Dhaka

2019 ◽  
Vol 9 (1) ◽  
pp. 63-69
Author(s):  
Shireen Ahmed ◽  
Md Nazmul Hoque ◽  
Tareq Mahmud Bhuiyan
Keyword(s):  
Adverse Events ◽  
Esophageal Varices ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Care Hospital ◽  
Esophageal Variceal ◽  
Band Ligation ◽  
Esophageal Variceal Ligation ◽  
Upper Gastrointestinal

Background: Bleeding from esophageal varices in cirrhosis is an emergency condition. Esophageal varices band ligation has shown better results in terms of variceal obliteration as well as having fewer side effects like ulceration, perforation and stricture formation. Methods: This observational study was conducted at the gastroenterology department of BIRDEM general hospital, from September 2014 to March 2015. Subjects were eligible if they had a diagnosis of cirrhosis based on history, physical examination, biochemical parameters and presence of esophageal varices in upper gastrointestinal endoscopy. All patients were tested to determine the cause of liver cirrhosis. All patients under-went upper gastrointestinal endoscopy after consent. Esophageal variceal ligation was done at appropriate situation and patients were followed up later on. SPSS 23 was used for statistical analysis. Results: The sample size was 69. The cumulative mean age was 55.58±14.462 years (range: 20-90), with gender-based mean age of 54.76±15.704 years for males and 57.22±11.739 years for female. Mild portal hypertensive gastropathy (PHG) was found 31 (44.9%) patient and severe PHG 36 (52.2%). Patients were followed up for mean period of 8.52±3.6 months. Variceal obliteration was achieved in 25 (36.2%) patients, while 06 (8.7%) cases developed re-bleeding during the study period and this type of patients were managed by other modalities or combination therapies. Recurrence of varices occurred in 13 (18.8%). 25 (36.2%) patients reduction of varix size occured after esophageal variceal ligation (EVL), 32 (46.4%) required second session and 12 (17.4%) required more than second session (Table-2). Thirty nine (56.5%) patients experienced minor adverse events like GI discomfort (retrosternal pain or dysphagia), while severe adverse events were noticed in 13 (18.8%) patients. Fundal varix was found among 8 (11.6%) patient on follow up endoscopy and GAVE found in 6 (8.69%) patients. All patient developed PHG during follow up endoscopy. Conclusion: Band ligation eradicates esophageal varices with less complications and a lower re-bleeding rate, but at the same time eradication is associated with more frequent development of PHG and fundal varices. Birdem Med J 2019; 9(1): 63-69

Comparison of Endoscopic Sclerosis with Endoscopic Band Ligation for Hemostasis of Active Hemorrhage Elicited By Rupture of Esophageal Varices

2008 ◽  
Vol 67 (5) ◽  
pp. AB189
Author(s):  
Gustavo O. Luz ◽  
Fauze Maluf-Filho ◽  
Sergio E. Matuguma ◽  
Fabio Y. Hondo ◽  
Spencer Cheng ◽  
...  
Keyword(s):  
Esophageal Varices ◽  
Band Ligation ◽  
Active Hemorrhage ◽  
Endoscopic Band Ligation ◽  
Endoscopic Sclerosis

Detachable string magnetically controlled capsule endoscopy for complete viewing of the esophagus and stomach

Endoscopy ◽  
2019 ◽  
Vol 51 (04) ◽  
pp. 360-364 ◽  
Author(s):  
Yi-Zhi Chen ◽  
Jun Pan ◽  
Yuan-Yuan Luo ◽  
Xi Jiang ◽  
Wen-Bin Zou ◽  
...  
Keyword(s):  
Pilot Study ◽  
Adverse Events ◽  
Diagnostic Accuracy ◽  
Reflux Esophagitis ◽  
Capsule Endoscopy ◽  
Esophageal Varices ◽  
Esophageal Disease ◽  
Technical Success ◽  
Novel Technique ◽  
Esophageal Capsule

Abstract Background Esophageal capsule endoscopy is reported to be insufficiently accurate to replace esophagogastroduodenoscopy (EGD) because the passage of the capsule through the esophagus is passive and precludes a thorough investigation. We developed a modified capsule endoscopy technique, called detachable string magnetically controlled capsule endoscopy (DS-MCE), and performed a pilot study to assess the feasibility and safety of this novel technique. Methods 4 healthy volunteers and 21 patients with suspected esophageal disease first underwent DS-MCE followed by EGD within 1 week. Outcomes included technical success of DS-MCE, adverse events, discomfort, and diagnostic accuracy. Results DS-MCE was successfully carried out in all 25 participants. No adverse events were observed. Mean overall discomfort score during DS-MCE was 0.96 (range 0 – 3). DS-MCE diagnoses were in accordance with EGD in all 25 participants. The per-patient sensitivity of DS-MCE for esophageal disease detection was 100 %. The accuracy of DS-MCE for grading esophageal varices and reflux esophagitis were 66.7 % and 100 %, respectively. Conclusions DS-MCE was a feasible, safe, and well-tolerated method for viewing the esophagus and proceeding with gastric examination after string detachment.

Gastric Ulcers after Endoscopic Sclerosis of Esophageal Varices

1985 ◽  
Vol 7 (1) ◽  
pp. 77-79 ◽  
Author(s):  
Stanton P. Tripodis ◽  
Alan V. Burnstein ◽  
Julius Wenger
Keyword(s):  
Esophageal Varices ◽  
Gastric Ulcers ◽  
Endoscopic Sclerosis

Immediate endoscopic sclerosis of bleeding esophageal varices

1988 ◽  
Vol 2 (1) ◽  
pp. 18-23 ◽  
Author(s):  
K. J. Paquet ◽  
J. F. Kalk ◽  
P. Koussouris
Keyword(s):  
Esophageal Varices ◽  
Bleeding Esophageal Varices ◽  
Endoscopic Sclerosis

Patent umbilical vein and endoscopic sclerosis of esophageal varices

1986 ◽  
Vol 32 (1) ◽  
pp. 56-57
Author(s):  
Andrea Salmi ◽  
Giuseppe Lombardi ◽  
Alessandro Paterlini ◽  
Federico Buffoli
Keyword(s):  
Esophageal Varices ◽  
Umbilical Vein ◽  
Endoscopic Sclerosis

MODIFIED LAPAROSCOPIC ESOPHAGOGASTRIC DEVASCULARIZATION

2021 ◽  
Vol 19 (4) ◽  
pp. 434-443
Author(s):  
E. V. Mohiliavets ◽  
Keyword(s):  
Esophageal Varices ◽  
Standard Technique ◽  
Long Term Results ◽  
Control Group ◽  
Recurrent Bleeding ◽  
Results Of Treatment ◽  
General Surgeons ◽  
Endoscopic Sclerosis ◽  
Technological Methods

Background. Transabdominal gastroesophageal devascularization is a technically feasible backup operation for most general surgeons in case of failure of endoscopic prophylaxis of bleeding from esophageal varices. There is an emerging trend in the development of laparoscopic technologies in the surgical correction of complications of portal hypertension. Purpose. Assessment of the clinical efficacy of laparoscopic esophagogastric devascularization in its own modification. Material and methods. In the period from 2009 to 2020, the results of treatment of 31 patients were studied. The patients were divided into 2 groups by the method of simple randomization. In the control group, surgery was performed in a standard way, in the main group - in the modification we proposed. Results. The use of our proposed technological methods when performing the stage of transection of the abdominal esophagus during laparoscopic esophagogastric devascularization in its own modification reduced the frequency of technical difficulties at this stage, which caused conversions, anastomotic leakage and other intra and postoperative complications. In the long-term period, there was a decrease in the degree of esophageal varices, a decrease in the frequency of recurrent bleeding and mortality, as well as an improvement in the quality of life in patients after a modified operation in comparison with the standard technique. Laparoscopic esophagogastric devascularization in our modification shows better results as a method of secondary prevention of bleeding from esophageal varices in cirrhosis of the liver in patients with a high risk of recurrence than the use of endoscopic sclerosis of esophageal varices, is characterized by a lower incidence of repeated episodes of bleeding from esophageal varices and less lethality. Conclusions. Based on the analysis of the immediate and long-term results of the use of laparoscopic esophagogastric devascularization in its own modification in the clinic, it should be noted the reproducibility of the surgical intervention, its effectiveness and safety.

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