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[Endoscopic ligation in treatment and prevention of bleeding from esophageal varices]

S A Gabriel'1, A Ya Guchetl'1, V M Durleshter1

  • 1Regional Clinical Hospital #2, Krasnodar.

Khirurgiia
|March 18, 2017
PubMed

Insights

Endoscopic ligation effectively treats and prevents esophageal varices bleeding in liver cirrhosis patients. This minimally invasive procedure shows high success rates, offering a safe and economical solution.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Endoscopic Surgery

Background:

  • Esophageal varices are a serious complication of liver cirrhosis and portal hypertension.
  • Bleeding from esophageal varices can be life-threatening.

Purpose of the Study:

  • To evaluate the efficacy of endoscopic ligation for treating and preventing esophageal varices bleeding.
  • To assess the safety and economic viability of endoscopic ligation.

Main Methods:

  • Retrospective analysis of 338 patients with liver cirrhosis who underwent endoscopic ligation between 2009 and May 2016.
  • Data collected on patient demographics, procedure details, and outcomes.

Main Results:

  • Endoscopic ligation demonstrated high effectiveness, with a success rate of 98.2% (502 out of 511 ligations).
  • Failure occurred in 1.8% of cases, primarily due to active bleeding during the procedure.
  • Minor complications included three cases of bleeding during ligation.

Conclusions:

  • Endoscopic ligation is a highly effective treatment for esophageal varices bleeding in liver cirrhosis patients.
  • The procedure is both medically and economically advantageous.
  • It serves as a crucial method for both treatment and prevention of variceal bleeding.
Abstract

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