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Endoscopic variceal ligation using multiband ligator.

R K Pokharna1, Sunil Kumar, P C Khatri

  • 1Departments of Gastroenterology and Pediatrics, S.P. Medical College, Type III 8, Medical College Campus, Bikaner (Rajasthan) 334 003, India. rkpokharna2@rediffmail.com

Indian Pediatrics
|March 16, 2005
PubMed
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Endoscopic variceal ligation (EVL) is a safe and effective treatment for esophageal variceal bleeding in children, showing high eradication rates and minimal complications. This method is a promising alternative to endoscopic sclerotherapy (EST) in pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Hepatology

Background:

  • Esophageal variceal bleeding is a serious condition in children, often managed with endoscopic sclerotherapy (EST).
  • EST in pediatric patients is linked to significant complications.
  • Endoscopic variceal ligation (EVL) has demonstrated safety and efficacy in adults, but its use in children is less studied.

Purpose of the Study:

  • To evaluate the safety and effectiveness of endoscopic variceal ligation (EVL) for treating esophageal variceal bleeding in children.
  • To compare EVL with existing treatments like endoscopic sclerotherapy (EST) in a pediatric population.

Main Methods:

  • A prospective study involving thirteen pediatric patients with variceal bleeding who underwent EVL using a multi-band ligator.

Related Experiment Videos

  • Data collected on the number of sessions required for eradication and any procedural complications.

    • Main Results:

    • Varices were successfully eradicated in an average of 2.8 sessions (range 2-4).
    • One patient experienced bleeding during the procedure, but no other complications were reported.
    • EVL was not feasible in two children under three years of age.

    Conclusions:

    • Endoscopic variceal ligation (EVL) appears to be a safe and effective treatment for esophageal variceal bleeding in children.
    • EVL offers a viable alternative to EST with a favorable safety profile in the pediatric population.
    • Further research is warranted, particularly for very young children (under 3 years).