Advertisement
Gastrointestinal Endoscopy
Advanced searchSave search
Case study| Volume 77, ISSUE 1, P136-140.e1, January 2013

Download started.

Ok

Interventions and outcomes of treatment of postbanding ulcer hemorrhage after endoscopic band ligation: a single-center case series

  • Amber Tierney
    Correspondence
    Reprint requests: Amber Tierney, MD, 2210 Richert Place, St. Louis, MO 63143
    Affiliations
    Department of Internal Medicine, Washington University, St. Louis, Missouri
    Search for articles by this author
  • Bertha E. Toriz
    Affiliations
    Division of Gastroenterology-Hepatology, University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa
    Search for articles by this author
  • Somia Mian
    Affiliations
    Division of Gastroenterology-Hepatology, University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa
    Search for articles by this author
  • Kyle E. Brown
    Affiliations
    Division of Gastroenterology-Hepatology, University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa

    Program in Free Radical and Radiation Biology, University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa

    Iowa City Veterans Administration Medical Center, Iowa City, Iowa
    Search for articles by this author
Published:October 12, 2012DOI:https://doi.org/10.1016/j.gie.2012.08.031
Interventions and outcomes of treatment of postbanding ulcer hemorrhage after endoscopic band ligation: a single-center case series
Previous ArticleBalloon-assisted enteroscopy for the treatment of a sealed jejunal perforation: removal of a penetrating fish bone (with video)
Next ArticleBloc biopsy by using submucosal endoscopy with a mucosal flap method for gastric subepithelial tumor tissue sampling (with video)
      Acute variceal hemorrhage is a significant cause of morbidity and mortality in cirrhotic patients.
      North Italian Endoscopic Club for the Study and Treatment of Esophageal Varices
      Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices.
      N Engl J Med. 1988; 319: 983-989
      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.
      • Laine L.
      • el-Newihi H.M.
      • Migikovsky B.
      • et al.
      Endoscopic ligation compared with sclerotherapy for the treatment of bleeding esophageal varices.
      Ann Intern Med. 1993; 119: 1-7
      , 
      • Stiegmann G.V.
      • Goff J.S.
      • Michaletz-Onody P.A.
      • et al.
      Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophageal varices.
      N Engl J Med. 1992; 326: 1527-1532
      , 
      • Garcia-Tsao G.
      • Sanyal A.J.
      • Grace N.D.
      • et al.
      Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis.
      Hepatology. 2007; 46: 922-938
      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.
      • Laine L.
      • el-Newihi H.M.
      • Migikovsky B.
      • et al.
      Endoscopic ligation compared with sclerotherapy for the treatment of bleeding esophageal varices.
      Ann Intern Med. 1993; 119: 1-7
      , 
      • Stiegmann G.V.
      • Goff J.S.
      • Michaletz-Onody P.A.
      • et al.
      Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophageal varices.
      N Engl J Med. 1992; 326: 1527-1532
      , 
      • Garcia-Tsao G.
      • Sanyal A.J.
      • Grace N.D.
      • et al.
      Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis.
      Hepatology. 2007; 46: 922-938
      , 
      • Lay C.S.
      • Tsai Y.T.
      • Lee F.Y.
      • et al.
      Endoscopic variceal ligation versus propranolol in prophylaxis of first variceal bleeding in patients with cirrhosis.
      J Gastroenterol Hepatol. 2006; 21: 413-419
      , 
      • Norberto L.
      • Polese L.
      • Cillo U.
      • et al.
      A randomized study comparing ligation with propranolol for primary prophylaxis of variceal bleeding in candidates for liver transplantation.
      Liver Transpl. 2007; 13: 1272-1278
      , 
      • Schepke M.
      • Kleber G.
      • Nürnberg D.
      • et al.
      Ligation versus propranolol for the primary prophylaxis of variceal bleeding in cirrhotics.
      Hepatology. 2004; 40: 65-72
      The reported incidence of bleeding from postbanding ulcers alone is 2.6% to 7.3%.
      • Laine L.
      • el-Newihi H.M.
      • Migikovsky B.
      • et al.
      Endoscopic ligation compared with sclerotherapy for the treatment of bleeding esophageal varices.
      Ann Intern Med. 1993; 119: 1-7
      , 
      • Norberto L.
      • Polese L.
      • Cillo U.
      • et al.
      A randomized study comparing ligation with propranolol for primary prophylaxis of variceal bleeding in candidates for liver transplantation.
      Liver Transpl. 2007; 13: 1272-1278
      , 
      • Schepke M.
      • Kleber G.
      • Nürnberg D.
      • et al.
      Ligation versus propranolol for the primary prophylaxis of variceal bleeding in cirrhotics.
      Hepatology. 2004; 40: 65-72
      , 
      • Vieira da Rocha E.C.
      • D'Amico E.A.
      • Caldwell S.H.
      • et al.
      A prospective study of conventional and expanded coagulation indices in predicting ulcer bleeding after variceal band ligation.
      Clin Gastroenterol Hepatol. 2009; 7: 988-993
      , 
      • Petrasch F.
      • Grothaus J.
      • Mössner J.
      • et al.
      Differences in bleeding behavior after endoscopic band ligation: a retrospective analysis.
      BMC Gastroenterol. 2010; 10: 5
      , 
      • Vanbiervliet G.
      • Giudicelli-Bornard S.
      • Piche T.
      • et al.
      Predictive factors of bleeding related to post-banding ulcer following endoscopic variceal ligation in cirrhotic patients: a case-control study.
      Aliment Pharmacol Ther. 2010; 32: 225-232
      , 
      • Schmitz R.J.
      • Sharma P.
      • Badr A.S.
      • et al.
      Incidence and management of esophageal stricture formation, ulcer bleeding, perforation, and massive hematoma formation from sclerotherapy versus band ligation.
      Am J Gastroenterol. 2001; 96: 437-441

      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

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • North Italian Endoscopic Club for the Study and Treatment of Esophageal Varices
        Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices.
        N Engl J Med. 1988; 319: 983-989
        View in Article
        • Laine L.
        • el-Newihi H.M.
        • Migikovsky B.
        • et al.
        Endoscopic ligation compared with sclerotherapy for the treatment of bleeding esophageal varices.
        Ann Intern Med. 1993; 119: 1-7
        View in Article
        • Stiegmann G.V.
        • Goff J.S.
        • Michaletz-Onody P.A.
        • et al.
        Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophageal varices.
        N Engl J Med. 1992; 326: 1527-1532
        View in Article
        • Garcia-Tsao G.
        • Sanyal A.J.
        • Grace N.D.
        • et al.
        Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis.
        Hepatology. 2007; 46: 922-938
        View in Article
        • Lay C.S.
        • Tsai Y.T.
        • Lee F.Y.
        • et al.
        Endoscopic variceal ligation versus propranolol in prophylaxis of first variceal bleeding in patients with cirrhosis.
        J Gastroenterol Hepatol. 2006; 21: 413-419
        View in Article
        • Norberto L.
        • Polese L.
        • Cillo U.
        • et al.
        A randomized study comparing ligation with propranolol for primary prophylaxis of variceal bleeding in candidates for liver transplantation.
        Liver Transpl. 2007; 13: 1272-1278
        View in Article
        • Schepke M.
        • Kleber G.
        • Nürnberg D.
        • et al.
        Ligation versus propranolol for the primary prophylaxis of variceal bleeding in cirrhotics.
        Hepatology. 2004; 40: 65-72
        View in Article
        • Vieira da Rocha E.C.
        • D'Amico E.A.
        • Caldwell S.H.
        • et al.
        A prospective study of conventional and expanded coagulation indices in predicting ulcer bleeding after variceal band ligation.
        Clin Gastroenterol Hepatol. 2009; 7: 988-993
        View in Article
        • Petrasch F.
        • Grothaus J.
        • Mössner J.
        • et al.
        Differences in bleeding behavior after endoscopic band ligation: a retrospective analysis.
        BMC Gastroenterol. 2010; 10: 5
        View in Article
        • Vanbiervliet G.
        • Giudicelli-Bornard S.
        • Piche T.
        • et al.
        Predictive factors of bleeding related to post-banding ulcer following endoscopic variceal ligation in cirrhotic patients: a case-control study.
        Aliment Pharmacol Ther. 2010; 32: 225-232
        View in Article
        • Schmitz R.J.
        • Sharma P.
        • Badr A.S.
        • et al.
        Incidence and management of esophageal stricture formation, ulcer bleeding, perforation, and massive hematoma formation from sclerotherapy versus band ligation.
        Am J Gastroenterol. 2001; 96: 437-441
        View in Article
        • 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
        View in Article
        • Stiegmann G.V.
        • Sun J.H.
        • Hammond W.S.
        Results of experimental endoscopic esophageal varix ligation.
        Am Surg. 1988; 54: 105-108
        View in Article
        • Nijhawan S.
        • Rai R.R.
        • Nepalia S.
        • et al.
        Natural history of postligation ulcers.
        Am J Gastroenterol. 1994; 89: 2281-2282
        View in Article
        • Toyoda H.
        • Fukuda Y.
        • Katano Y.
        • et al.
        Fatal bleeding from a residual vein at the esophageal ulcer base after successful endoscopic variceal ligation.
        J Clin Gastroenterol. 2001; 32: 158-160
        View in Article
        • Mishin I.
        • Dolghii A.
        Early spontaneous slippage of rubber bands with fatal bleeding: a rare complication of endoscopic variceal ligation.
        Endoscopy. 2005; 37: 275-276
        View in Article
        • Polski J.M.
        • Brunt E.M.
        • Saeed Z.A.
        Chronology of histological changes after band ligation of esophageal varices in humans.
        Endoscopy. 2001; 33: 443-447
        View in Article
        • Abdullah A.
        • Sachithanandan S.
        • Tan O.K.
        • et al.
        Cerebral embolism following N-butyl-2-cyanoacrylate injection for esophageal postbanding ulcer bleed: a case report.
        Hepatol Int. 2009; 3: 504-508
        View in Article
        • Mishin I.
        • Ghidirim G.
        • Dolghii A.
        • et al.
        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
        View in Article
        • Wadhawan M.
        • Dubey S.
        • Sharma B.C.
        • et al.
        Hepatic venous pressure gradient in cirrhosis: correlation with size of varices, bleeding, ascites, and child's status.
        Dig Dis Sci. 2006; 51: 2264-2269
        View in Article
        • Shaheen N.J.
        • Stuart E.
        • Schmitz S.M.
        • et al.
        Pantoprazole reduces the size of postbanding ulcers after variceal band ligation: a randomized, controlled trial.
        Hepatology. 2005; 41: 588-594
        View in Article
        • Imperiale T.F.
        • Birgisson S.
        Somatostatin or octreotide compared with H2 antagonists and placebo in the management of acute nonvariceal upper gastrointestinal hemorrhage: a meta-analysis.
        Ann Intern Med. 1997; 127: 1062-1071
        View in Article
        • Jenkins S.A.
        • Kingsnorth A.N.
        • Ellenbogen S.
        • et al.
        Octreotide in the control of post-sclerotherapy bleeding from oesophageal varices, ulcers, and oesophagitis.
        HPB Surg. 1996; 10: 1-6
        View in Article

      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

      DOI: https://doi.org/10.1016/j.gie.2012.08.031

      Copyright

      © 2013 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX