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Endoscopic management for bleeding esophageal varices: sclerotherapy versus sclerotherapy plus band ligation versus band ligation alone. One year experience at a main hospital in Saudi Arabia.
Hepatogastroenterology. 1999 Mar-Apr; 46(26):967-70.H

Abstract

BACKGROUND/AIMS

This study was done retrospectively to compare the outcome of sclerotherapy alone, band ligation alone and band ligation alternating with sclerotherapy in treatment of esophageal varices.

METHODOLOGY

During 1 year 30 patients were admitted with variceal bleeding. They received either injection sclerotherapy (8 patients) or band ligation (11 patients), and 11 patients had a combination of both either during first bleed or during follow-up therapy, which is more than 2 sessions in each group.

RESULTS

The success rate for stopping first bleeding was 100% in the band ligation and sclerotherapy alone group. The rebleeding rate was 27% in the combination group, 9% in the band ligation group, and none had rebleeding in the sclerotherapy group during follow-up. Eradication of varices was observed in 33% of patients after a second set of sclerotherapy and band ligation.

CONCLUSIONS

Our study showed no significant difference between sclerotherapy versus band ligation in stopping initial bleeding or eradication of varices during the follow-up period, but there was a difference in re-bleeding rates among the three groups.

Authors+Show Affiliations

Gastroenterology Department, Armed Forces Hospital, Riyadh, Saudi Arabia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

10370647

Citation

Mohamed, A R., et al. "Endoscopic Management for Bleeding Esophageal Varices: Sclerotherapy Versus Sclerotherapy Plus Band Ligation Versus Band Ligation Alone. One Year Experience at a Main Hospital in Saudi Arabia." Hepato-gastroenterology, vol. 46, no. 26, 1999, pp. 967-70.
Mohamed AR, Gadour M, Ghandour Z, et al. Endoscopic management for bleeding esophageal varices: sclerotherapy versus sclerotherapy plus band ligation versus band ligation alone. One year experience at a main hospital in Saudi Arabia. Hepatogastroenterology. 1999;46(26):967-70.
Mohamed, A. R., Gadour, M., Ghandour, Z., & al Karawi, M. (1999). Endoscopic management for bleeding esophageal varices: sclerotherapy versus sclerotherapy plus band ligation versus band ligation alone. One year experience at a main hospital in Saudi Arabia. Hepato-gastroenterology, 46(26), 967-70.
Mohamed AR, et al. Endoscopic Management for Bleeding Esophageal Varices: Sclerotherapy Versus Sclerotherapy Plus Band Ligation Versus Band Ligation Alone. One Year Experience at a Main Hospital in Saudi Arabia. Hepatogastroenterology. 1999 Mar-Apr;46(26):967-70. PubMed PMID: 10370647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic management for bleeding esophageal varices: sclerotherapy versus sclerotherapy plus band ligation versus band ligation alone. One year experience at a main hospital in Saudi Arabia. AU - Mohamed,A R, AU - Gadour,M, AU - Ghandour,Z, AU - al Karawi,M, PY - 1999/6/17/pubmed PY - 1999/6/17/medline PY - 1999/6/17/entrez SP - 967 EP - 70 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 46 IS - 26 N2 - BACKGROUND/AIMS: This study was done retrospectively to compare the outcome of sclerotherapy alone, band ligation alone and band ligation alternating with sclerotherapy in treatment of esophageal varices. METHODOLOGY: During 1 year 30 patients were admitted with variceal bleeding. They received either injection sclerotherapy (8 patients) or band ligation (11 patients), and 11 patients had a combination of both either during first bleed or during follow-up therapy, which is more than 2 sessions in each group. RESULTS: The success rate for stopping first bleeding was 100% in the band ligation and sclerotherapy alone group. The rebleeding rate was 27% in the combination group, 9% in the band ligation group, and none had rebleeding in the sclerotherapy group during follow-up. Eradication of varices was observed in 33% of patients after a second set of sclerotherapy and band ligation. CONCLUSIONS: Our study showed no significant difference between sclerotherapy versus band ligation in stopping initial bleeding or eradication of varices during the follow-up period, but there was a difference in re-bleeding rates among the three groups. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/10370647/Endoscopic_management_for_bleeding_esophageal_varices:_sclerotherapy_versus_sclerotherapy_plus_band_ligation_versus_band_ligation_alone__One_year_experience_at_a_main_hospital_in_Saudi_Arabia_ L2 - http://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -