Korean Journal of Gastrointestinal Endoscopy 1995;15(1): 6-11.
원저 : 식도 정맥류 출혈에 대한 내시경적 결찰요법의 치료효과 ( Original Articles : Efficacy of Endoscopic Variceal Ligation on Bleeding Esophageal Varices )
정정명, 이상혁, 설상영, 옥승철, 정준용, 조길현 (Jung Myung Chung, Sang Hyuk Lee, Sang Yong Seol, Sung Cheul Ok, Joon Yong Jeong and Kil Hyeon Cho)
Abstract
Endoscopic injection sclerotheraphy(EIS) was an effective method for treatment of bleeding esophageal varices. However, it might be associated with some undesirable complications. Endoscopic variceal ligation(EVL) is a recently developed method for control of active variceal bleeding and eradicating esophageal varices with similar efficacy and minimal risk of complications compare to EIS. We performed EVL in 40 patients who had recently bled from esophageal varices. Total 198 variceal ligations were performed during 64 separate EVL session. Control rate of acute bleeding was 90%(36 of 40patients) and 4 patients died after EVL because of failure of bleeding control. Rebleeding following initiation of EVL occured in 5 patients-three patients were successfully controlled by EVL, one patient was controlled but eradication was impossible and one patient died. Varices were eradicated or reduced to grade I in 31(86.1% ) of 36 survivors by 1-9 ligation(mean 5.0) in l-4 EVL sessions(mean 1.6). After EVL, there were mild complications-mild substernal discomfort in 4 patients, mild dysphagia in 2 patients and fever in 2 patients. These results suggest that EVL is a safe and effective method for treatment of bleeding and eradication of esophageal varices with less complication.
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