Canadian Journal of Gastroenterology and Hepatology

Canadian Journal of Gastroenterology and Hepatology / 1990 / Article

Variceal Hemorrhage | Open Access

Volume 4 |Article ID 631486 |

John S Goff, "Esophageal Variceal Ligation", Canadian Journal of Gastroenterology and Hepatology, vol. 4, Article ID 631486, 4 pages, 1990.

Esophageal Variceal Ligation


Endoscopic sclerotherapy is an effective method for treating and eradicating acutely bleeding varices in repeated sessions; however, it is not ideal because of numerous serious complications. Endoscopic variceal ligation, developed to circumvent some of the side effects of sclerotherapy, controls actively bleeding varices in about 90% of cases. Of 146 patients treated with endoscopic variceal ligation, variceal eradication was achieved in 80% of surviving patients in a mean of 5.5 treatment sessions. Recurrent bleeding developed in 39%. Complications were very rare. It is concluded that endoscopic variceal ligation is at least as effective as sclerotherapy but associated with fewer complications.

Copyright © 1990 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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