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Endoscopic variceal ligation is a sufficient procedure for the treatment of oesophageal varices in patients with hepatitis C liver cirrhosis: Comparison with injection sclerotherapy
Author(s) -
Hata Yasuo,
Hamada Eiji,
Takahashi Morio,
Ota Shinichi,
Ogura Keiji,
Shiina Shuichiro,
Okamoto Makoto,
Okudaira Tsuyoshi,
Teratani Takuma,
Maeda Shin,
Koike Yukihiro,
Sato Shinpei,
Obi Shuntaro,
Tanaka Torao,
Kawabe Takao,
Shiratori Yasushi,
Kawase Tateo,
Nomura Masuyo,
Omata Masao
Publication year - 1999
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1046/j.1440-1746.1999.01840.x
Subject(s) - medicine , varices , cirrhosis , ligation , sclerotherapy , esophageal varices , gastroenterology , varix , endoscopy , gastric varices , hepatitis c , surgery , portal hypertension
Aims : Endoscopic variceal ligation (EVL) is a recently developed alternative to endoscopic injection sclerotherapy (EIS) for the treatment of oesophageal varices. Endoscopic variceal ligation and EIS were compared in an attempt to clarify the efficacy and safety of EVL for patients with cirrhosis due to hepatitis C. Methods : Endoscopic variceal ligation was performed in 60 patients and EIS in 30. Varices were eradicated in all patients by EVL and 87% (26 out of 30) by EIS. Results : There was no significant difference between EVL and EIS in relation to the incidence of bleeding and the 5 year survival rate after treatment. There were no severe complications except mild substernal pain after EVL, while pulmonary embolism occurred in one patient receiving EIS. Conclusions : Endoscopic variceal ligation is a safe and effective technique for eradicating oesophageal varices in patients with hepatitis C cirrhosis.