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Comparison of endoscopic variceal sclerotherapy with sequential endoscopic band ligation plus low-dose sclerotherapy for secondary prophylaxis of variceal hemorrhage: a prospective randomized study.
Gastrointest Endosc. 1999 Sep; 50(3):369-73.GE

Abstract

BACKGROUND

Endoscopic variceal sclerotherapy and band ligation both have certain limitations such as, respectively, esophageal complications and early recurrence of varices.

METHODS

From February 1994 to March 1996, all consecutive patients with portal hypertension due to either cirrhosis or noncirrhotic portal fibrosis and a history of variceal bleeding were included in a prospective study and randomly assigned to receive either endoscopic variceal sclerotherapy alone or endoscopic variceal band ligation plus low-dose endoscopic variceal sclerotherapy.

RESULTS

Of 69 patients, 34 were randomly assigned to receive endoscopic variceal sclerotherapy alone; 35 received endoscopic variceal band ligation plus endoscopic variceal sclerotherapy. Complete variceal eradication rates (85% vs. 80%) and the number of endoscopic sessions required for eradication (6.61 +/- 2.94 vs. 7.85 +/- 3.31) were similar in the endoscopic variceal sclerotherapy and endoscopic variceal band ligation plus endoscopic variceal sclerotherapy groups, respectively. The mean volume of sclerosant required in the combined group (54.94 +/- 33.74 mL) was significantly less than that in the endoscopic variceal sclerotherapy group (81.91 +/- 34.80 mL). The complication and recurrent bleeding rates were significantly higher in the endoscopic variceal sclerotherapy group than those in the combined group (20% and 16% vs. 3% and 3%, respectively).

CONCLUSIONS

Both endoscopic variceal sclerotherapy and endoscopic variceal band ligation plus endoscopic variceal sclerotherapy were comparable in eradicating varices but the combined technique was associated with significantly lower complication and recurrent bleeding rates.

Authors+Show Affiliations

Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

10462658

Citation

Garg, P K., et al. "Comparison of Endoscopic Variceal Sclerotherapy With Sequential Endoscopic Band Ligation Plus Low-dose Sclerotherapy for Secondary Prophylaxis of Variceal Hemorrhage: a Prospective Randomized Study." Gastrointestinal Endoscopy, vol. 50, no. 3, 1999, pp. 369-73.
Garg PK, Joshi YK, Tandon RK. Comparison of endoscopic variceal sclerotherapy with sequential endoscopic band ligation plus low-dose sclerotherapy for secondary prophylaxis of variceal hemorrhage: a prospective randomized study. Gastrointest Endosc. 1999;50(3):369-73.
Garg, P. K., Joshi, Y. K., & Tandon, R. K. (1999). Comparison of endoscopic variceal sclerotherapy with sequential endoscopic band ligation plus low-dose sclerotherapy for secondary prophylaxis of variceal hemorrhage: a prospective randomized study. Gastrointestinal Endoscopy, 50(3), 369-73.
Garg PK, Joshi YK, Tandon RK. Comparison of Endoscopic Variceal Sclerotherapy With Sequential Endoscopic Band Ligation Plus Low-dose Sclerotherapy for Secondary Prophylaxis of Variceal Hemorrhage: a Prospective Randomized Study. Gastrointest Endosc. 1999;50(3):369-73. PubMed PMID: 10462658.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of endoscopic variceal sclerotherapy with sequential endoscopic band ligation plus low-dose sclerotherapy for secondary prophylaxis of variceal hemorrhage: a prospective randomized study. AU - Garg,P K, AU - Joshi,Y K, AU - Tandon,R K, PY - 1999/8/27/pubmed PY - 1999/8/27/medline PY - 1999/8/27/entrez SP - 369 EP - 73 JF - Gastrointestinal endoscopy JO - Gastrointest Endosc VL - 50 IS - 3 N2 - BACKGROUND: Endoscopic variceal sclerotherapy and band ligation both have certain limitations such as, respectively, esophageal complications and early recurrence of varices. METHODS: From February 1994 to March 1996, all consecutive patients with portal hypertension due to either cirrhosis or noncirrhotic portal fibrosis and a history of variceal bleeding were included in a prospective study and randomly assigned to receive either endoscopic variceal sclerotherapy alone or endoscopic variceal band ligation plus low-dose endoscopic variceal sclerotherapy. RESULTS: Of 69 patients, 34 were randomly assigned to receive endoscopic variceal sclerotherapy alone; 35 received endoscopic variceal band ligation plus endoscopic variceal sclerotherapy. Complete variceal eradication rates (85% vs. 80%) and the number of endoscopic sessions required for eradication (6.61 +/- 2.94 vs. 7.85 +/- 3.31) were similar in the endoscopic variceal sclerotherapy and endoscopic variceal band ligation plus endoscopic variceal sclerotherapy groups, respectively. The mean volume of sclerosant required in the combined group (54.94 +/- 33.74 mL) was significantly less than that in the endoscopic variceal sclerotherapy group (81.91 +/- 34.80 mL). The complication and recurrent bleeding rates were significantly higher in the endoscopic variceal sclerotherapy group than those in the combined group (20% and 16% vs. 3% and 3%, respectively). CONCLUSIONS: Both endoscopic variceal sclerotherapy and endoscopic variceal band ligation plus endoscopic variceal sclerotherapy were comparable in eradicating varices but the combined technique was associated with significantly lower complication and recurrent bleeding rates. SN - 0016-5107 UR - https://www.unboundmedicine.com/medline/citation/10462658/Comparison_of_endoscopic_variceal_sclerotherapy_with_sequential_endoscopic_band_ligation_plus_low_dose_sclerotherapy_for_secondary_prophylaxis_of_variceal_hemorrhage:_a_prospective_randomized_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0016-5107(99)00448-4 DB - PRIME DP - Unbound Medicine ER -