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Endoscopic management of esophageal varices.

Authors
Type
Published Article
Journal
World journal of gastrointestinal endoscopy
Publication Date
Volume
4
Issue
7
Pages
312–322
Identifiers
DOI: 10.4253/wjge.v4.i7.312
PMID: 22816012
Source
Medline
Keywords
License
Unknown

Abstract

The rupture of gastric varices results in variceal hemorrhage, which is one the most lethal complications of cirrhosis. Endoscopic therapies for varices aim to reduce variceal wall tension by obliteration of the varix. The two principal methods available for esophageal varices are endoscopic sclerotherapy (EST) and band ligation (EBL). The advantages of EST are that it is cheap and easy to use, and the injection catheter fits through the working channel of a diagnostic gastroscope. Endoscopic variceal ligation obliterates varices by causing mechanical strangulation with rubber bands. The following review aims to describe the utility of EBL and EST in different situations, such as acute bleeding, primary and secondary prophylaxis.

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