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KMID : 0359019950150010006
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Korean Journal of Gastrointestinal Endoscopy
1995 Volume.15 No. 1 p.6 ~ p.11
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Efficacy of Endoscopic Variceal Ligation on Bleeding Esophageal Varices
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옥승철
정준용/조길현/이상혁/설상영/정정명
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Abstract
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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 1~4 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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KEYWORD
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