Acute variceal hemorrhage is a significant cause of morbidity and mortality in cirrhotic
patients.
1
Endoscopic band ligation (EBL) is the preferred treatment for acute variceal hemorrhage
and is used for the primary and secondary prophylaxis of esophageal variceal bleeding.
2
,
3
,
4
Complications after EBL occur in 2% to 23.7% of patients and include esophageal stricture
formation, infection, and rebleeding caused by variceal hemorrhage or postbanding
ulcers.
2
,
3
,
4
,
5
,
6
,
7
The reported incidence of bleeding from postbanding ulcers alone is 2.6% to 7.3%.
2
,
6
,
7
,
8
,
9
,
10
,
11
Abbreviations:
EBL (endoscopic band ligation), MELD (Model for End-Stage Liver Disease), PBUH (postbanding ulcer hemorrhage), PPI (proton pump inhibitor), TIPS (transjugular intrahepatic portosystemic shunt)To read this article in full you will need to make a payment
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References
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- Implantation of self-expanding metal stent in the treatment of severe bleeding from esophageal ulcer after endoscopic band ligation.Dis Esophagus. 2010; 23: E35-E38
- Hepatic venous pressure gradient in cirrhosis: correlation with size of varices, bleeding, ascites, and child's status.Dig Dis Sci. 2006; 51: 2264-2269
- Pantoprazole reduces the size of postbanding ulcers after variceal band ligation: a randomized, controlled trial.Hepatology. 2005; 41: 588-594
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Article info
Publication history
Published online: October 12, 2012
Accepted:
August 27,
2012
Received:
May 29,
2012
Footnotes
DISCLOSURE: The authors disclosed no financial relationships relevant to this publication.
Identification
Copyright
© 2013 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.