Korean Journal of Gastrointestinal Endoscopy 1996;16(4): 551-560.
원저 : 식도 위장관 ; 식도정맥류 출혈에 있어서 내시경적 다연발 정맥류 결찰요법의 임상적 의의 ( Original Articles : Esophagus , Stomach & Intestine ; Clinical Significance of Multi - Band Ligation for Esophageal Variceal Bleeding )
심찬섭, 이준성, 이문성, 조주영, 조영덕, 이영홍, 봉형근, 김진오, 김연수, 황성규 (Chan Sup Shim, Joon Seong Lee, Moon Sung Lee, Joo Young Cho, Young Deok Cho, Young Hong Lee, Hyung Keun Bong, Jin Oh Kim, Yun Soo Kim and Seong Gyu Hwang)
Abstract
Endoscopic esophageal variceal ligation(EVL) was first introduced by Stiegmann and colleagues in 1986, and it has since grown to he became an extremely popular modality throughout the world as well as Korea. Endoseopic variceal ligation(EVL), which consists of mechanical ligation and thrombosis of varices using elastic O-rings, has been recently developed as a non-operative alternative to endapic injection sclerotherapy(EIS). EVL is minimally operator-dependent and is also associated with fewer local and systemic complications than sclerotherapy. However, the conventional device has only one O ring, and thus the inner cylinder has to be exchanged after each ligation, So, it is a time-consurning procedure that requires the use of an overtube which has somtimes caused tearing of the esophageal mucosa. To save time and control variceal bleeding, multi-band ligation(MBL) was developed. These ligators have five or six O rings, and serial ligation is now possible without exchanging the cylinder or withdrawing the endoscope. (Korean J Gastrointest Endosc 16: 551~ 560, 1996) (continue...)
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