دورية أكاديمية
Esophageal variceal ligation in the secondary prevention of variceal bleeding: Result of long term follow-up.
| العنوان: | Esophageal variceal ligation in the secondary prevention of variceal bleeding: Result of long term follow-up. |
|---|---|
| المؤلفون: | Lahbabi M; Department of Hepato Gastroenterology Hassan II University Hospital Fez, Morocco., Mellouki I, Aqodad N, Elabkari M, Elyousfi M, Ibrahimi SA, Benajah DA |
| المصدر: | The Pan African medical journal [Pan Afr Med J] 2013 May 03; Vol. 15, pp. 3. Date of Electronic Publication: 2013 May 03 (Print Publication: 2013). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kampala, Uganda : African Field Epidemiology Network |
| مواضيع طبية MeSH: | Endoscopy/*methods , Esophageal and Gastric Varices/*prevention & control , Gastrointestinal Hemorrhage/*prevention & control , Hypertension, Portal/*complications, Adult ; Esophageal and Gastric Varices/etiology ; Esophageal and Gastric Varices/surgery ; Female ; Follow-Up Studies ; Hospitals, University ; Humans ; Ligation/methods ; Male ; Middle Aged ; Morocco ; Retrospective Studies ; Secondary Prevention/methods ; Time Factors ; Treatment Outcome |
| مستخلص: | Introduction: Long-term outcome of patients after band ligation have been poorly defined. Therefore, we conducted a long-term follow-up study to delineate the outcome of ligation in patients with portal hypertension in the Hassan II university hospital, Fes, Morocco. Methods: Over 118 months patients treated by endoscopic variceal ligation were received regular follow- up and detailed clinical assessment of at least 24 months. Results: One hundred twenty five patients were followed up for a mean of 31 months (range 12-107 months). Obliteration of the varices was achieved in 89.6 % (N = 112) of patients, with 3 +/-1.99 (range 1-8) endoscopy sessions over a period of 14 + /-6.8 weeks (range 3-28). The percentage of variceal recurrence during follow-up after ligation was 20.5 % (N = 23). Recurrence were observed in a mean of 22 months +/- 7.3 (range 3-48). Bleeding rate from recurrent varices was 30.4 % (7/23). Rebleeding from esophageal ulcers occurred in 5.6 % (7/125) of patients. Portal hypertensive gastropathy before and after eradication of varices was 17.6% (N = 22) and 44.6% (N = 50) respectively; p< 0.05. Fundal gastric varices was 30.4% (N = 38) and 35.7% (N = 40) before and after eradication of varices respectively; p> 0.05. The overall mortality was 4 % (N = 5). Conclusion: Band ligation was an effective technical approach for variceal obliteration with low rates of variceal recurrence, rebleeding and development of gastric varices. Furthermore, it was associated with frequent development of portal hypertensive gastropathy. |
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| فهرسة مساهمة: | Keywords: Variceal hemorrhage; complication of band ligation; endoscopic band ligation; esophageal varices; liver cirrhosis; secondary prevention |
| تواريخ الأحداث: | Date Created: 20130713 Date Completed: 20140210 Latest Revision: 20220310 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC3708329 |
| DOI: | 10.11604/pamj.2013.15.3.2098 |
| PMID: | 23847700 |
| قاعدة البيانات: | MEDLINE |
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