Variceal ligation

G. Other applications Octreotide has been reported to be effective in treating noninfectious diarrhea and diarrhea in patients with AIDS, and as an adjunct to endoscopic variceal ligation, to reduce recurrent bleeding from esophageal varices. Micromedex lists many other potential uses. [Pg.244]

Goff, J.S., Reveille, R.M., van Stiegmann, G. Endoscopic sclerotherapy versus endoscopic variceal ligation esophageal symptoms, complications, and motility. Amer. J. Gastroenterol. 1988 83 1240-1244... [Pg.370]

Imperiale, T.F., Chalasani, N. A metaanalysis of endoscopic variceal ligation for primary prophylaxis of esophageal bleeding. Hepatology 2001 33 1003-1004... [Pg.370]

Pereira-Lima, XC., Zanette, M., Lopes, C.V., de Mattos, A.A. The influence of endoscopic variceal ligation on the portal pressure gradient in cirrhotics. Hepato-Gastroenterol. 2003 50 102-106... [Pg.371]

Saeed, Z.A., Sti mann, G.V., Ramirez, F.C., Reveille, R.M., Goff, J.S., Hepps, K.S., Cole, R.A. Endoscopic variceal ligation is superior to combined ligation and sclerotherapy for esophageal varices a multicenter prospective randomized trial. Hepatology 1997 25 71-74... [Pg.371]

Sauer, R, Hansmann, J., Richter, G.M., Stremmel, W., Stiehl, A. Endoscopic variceal ligation plus propranolol vs. transjugular intrahepatic portosystemic stent shunt a long-term randomized trial. Endoscopy 2002 34 690-697... [Pg.371]

Pomier-Layrargues G, Villeneuve JP, Deschenes M, Bui B, Perreault P, Fenyves D et al (2001) Transjugular intrahepatic portosystemic shunt (TIPS) versus endoscopic variceal ligation in the prevention of variceal rebleeding in patients with cirrhosis a randomised trial. Gut 48 390-396 Reeves ST, Havidich JE, Tobin DP (2004) Conscious sedation of children with propofol is anything but conscious. Pediatrics 114 e74-e76... [Pg.240]

Balloon tamponade involves the application of direct pressure to the area of bleeding with an inflatable balloon attached to a nasogastric tube. It is an option for patients in whom drug therapy and band ligation fail to stop variceal bleeding. Balloon tamponade is used only when other methods have failed. Once the direct pressure of the balloon is removed, rebleeding often occurs, so balloon tamponade is only a temporary measure prior to more definitive treatment such as shunting.11... [Pg.331]

EBL is the recommended form of endoscopic therapy for acute variceal bleeding, although endoscopic injection sclerotherapy (injection of 1 to 4 mL of a sclerosing agent into the lumen of the varices) may be used if the ligation is technically difficult. EBL is often used for upper GI tract hemorrhage secondary to portal hypertension and varices. [Pg.259]

Direct treatment of varices by endoscopy is preferred. Band ligation, in which the varices are strangulated by application of small elastic bands has fewer complications than sclerotherapy, which involves injecting sclerosant into and around the varices but may lead to oesophagitis, stricture or embolisation of sclerosant. Either technique can control bleeding in about 90% of patients, and rebleeding is reduced if this direct treatment is combined with reduction of portal pressure (see below). [Pg.655]

Patients who continue to bleed despite the above measures require surgery (ligation or transection of varices) or placement of a stent between intrahepatic branches of the portal and (systemic) hepatic veins under radiological control. The latter is now the technique of choice for the 10-15% of patients with acute bleeding resistant to conventional treatment, and also for long-term management of patients who are difficult to help by other methods (see below). [Pg.655]

Endoscopic therapy as (above), preferably by band ligation, and repeated at weekly intervals until all varices are obliterated, is currently the treatment of choice it reduces the incidence of rebleeding by 50-60%. [Pg.656]

Depending on the respective findings, endoscopic sclerotherapy, the banding ligation of varices or the clip... [Pg.367]

Hashizume, M., Ohta, M., Ueno, K., Tanoue, K., Kitano, S., Sugimachi, K. Endoscopic ligation of esophageal varices compared with injection sclerotherapy a prospective randomized trial. Gastrointest. Endosc. 1993 39 123-126... [Pg.370]

Laine, L., El-Newihi, H.M., Minkovsky, B., Sloane, R., Garcia, F. Endoscopic ligation compared with sclerotherapy for the treatment of bleeding esophageal varices. Ann. Intern. Med. 1993 119 1—7... [Pg.370]

Lul, H.F., Stanley, A.J., Forrest, E.H., Jalan, R., Hlslop, W.S., Mills, P.R., Flnlayson, N.D.C., MacGllchrlst, A.J., Hayes, PC. Primary prophylaxis of variceal hemorrhage a randomized controlled trial comparing band ligation, propranolol, and isosorbide mononitrate. Gastroenterology 2002 123 735-744... [Pg.370]

C., Burroughs, A.K. A randomized, controlled trial of medical therapy versus endoscopic ligation for the prevention of variceal rebleeding in patients with cirrhosis. Gastroenterology 2002 123 1013-1019... [Pg.371]

Tait, I.S., Krige, J.E.J., Terblanche, J. Endoscopic band ligation of oesophageal varices. Brit. X Surg. 1999 86 437-446... [Pg.372]

Young, M.F., Sanowski, R.A., Rasche, R. Comparison and characterization of ulcerations induced by endoscopic ligation of esophageal varices versus endoscopic sclerotherapy. Gastrointest. Endosc. 1993 39 119-122... [Pg.372]

Misra, S.R, Misra, V., Dwivedi, M. Effect of esophageal variceal band ligation on hemorrhoids, anorectal varices, and portal hypertensive colopathy. Endoscopy 2002 34 195-198... [Pg.372]

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