• 作者：Silvia Gó ; mez Senent ; ^{silviagsenent@yahoo.es} ; Marí ; a Dolores Martí ; n Arranz ; Consuelo Froilá ; n Torres ; Noemí ; Manceñ ; ido Marcos ; Sonia Martí ; n Chavarri ; Gemma Carrió ; n Alonso ; José ; Suá ; rez de Parga ; José ; Marí ; a Segura Cabral
• 刊名：Gastroenterolog¨ªa y Hepatolog¨ªa
• 出版年：2006
• 出版时间：June 2006
• 年：2006
• 卷：29
• 期：6
• 页码：323-326
• 全文大小：83 K

The aim of the present study was to determine the usefulness of elastic band ligation in the prevention of hemorrhage recurrence due to esophageal-gastric varices. Sixty-five patients who survived an episode of variceal hemorrhage were included in the study. Twenty-nine patients (45 % ) were Child-Pugh class A, 25 (38 % ) were class B, and 11 (17 % ) were class C. The cause of cirrhosis was hepatitis C virus and alcohol in 45 % and 31 % of the patients, respectively. The first ligation session was performed between the third and fifth day after the hemorrhagic episode and subsequent sessions were carried out at intervals of 3-4 weeks. The ligation sessions were performed with antibiotic prophylaxis. A mean of 2.7 bands were placed per session (range 1-5), and the mean number of sessions required per patient to achieve variceal eradication was 2.5 (range 1-6). The rate of bleeding recurrence was 24.6 % (16 episodes). In conclusion, endoscopic elastic band ligation is a useful technique for the eradication of esophageal varices and for the prevention of bleeding recurrence.