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Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   FEBRUARY-MARCH 2008 , Volume 12 , Number 6 (60); Page(s) 465 To 471.
 
Paper: 

RESULTS AND OUTCOMES OF BAND LIGATION AMONG 95 CASES WITH ESOPHAGEAL VARICES IN TALEGHANI HOSPITAL BETWEEN 2002 AND 2007

 
 
Author(s):  MOHAMMADALIZADEH A.H.*, MINAKARI MOHAMMAD, SADEGHI KHASRAGHI A., MIRZAEI VAHID, NADERI N.A., KHAVARAN K., TAGHI KHANI A., MANSOURI FATEMEH, MOHAGHEGH SHALMANI H., ZALI MOHAMMAD REZA
 
* GASTROENTEROLOGY RESEARCH CENTER, SHAHEED BEHESHTI MEDICAL UNIVERSITY
 
Abstract: 

Background: Endoscopic Variceal Ligation (EVL) is considered the selective method of therapy for patients who suffer from esophageal varices. In this article we evaluated the results and outcomes of patients who underwent EVL with multiband ligators due to their esophageal varices.
Materials and Methods: We studied 95 cases of esophageal varices who underwent EVL at Taleghani Hospital between 2002 and 2007. EVL was applied because of active bleeding, primary or secondary prophylaxis for esophageal varice of grade 2 or above. The process was repeated every 3-4 weeks until the varices were occluded or become to grade 1 varices or small thromboses ones. Their demographaic data were gathered and analyzed as well as all the information about their recent procedure.
Results: Our studied subjects had the mean age of 51.53
±15.31 (ranged from 15 to 81). The average number of sessions for performing EVL were 1.81±1.07 (ranged between 1 and 8 times). The most prevalent cause for applying EVL was active bleeding. Complications were significantly more in patients whom were candidated for EVL by reason of active bleeding, compared to those who underwent EVL for either primary or second aryprophylactic reasons (P=0.02). Among cases who had developed any complications, the numbers of ligation sessions were significantly more than other patents (2.58±1.25vs 1.40±0.66, P<0.001). There was no case of death due to this mode of therapy.
Conclusion: EVL as a selective mode of therapy for treatment of esophageal varices possesses a few consequential complications and its application, therefore, is reasonable.

 
Keyword(s): ENDOSCOPIC LIGATION, ESOPHAGEAL VARICES, IRAN
 
References: 
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