Endoscopic Variceal Band Ligation: A Safe Way to Treat Oesophageal Varices
Clinical Medicine Research
Volume 5, Issue 3, May 2016, Pages: 35-38
Received: Apr. 3, 2016; Accepted: Apr. 20, 2016; Published: May 3, 2016
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Authors
Ale Alexander Femi, Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria
Achinge Godwin Ior, Department of Medicine, Benue State University Teaching Hospital, Makurdi, Nigeria
Peter Solomon Danjuma, Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria
Shitta Andrew Haruna, Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria
Misauno Michael Ayedima, Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria
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Abstract
Bleeding from oesophageal varices is the most dreaded complication of chronic liver disease and is associated with high mortality. Endoscopic variceal ligation is one of the more recent effective treatment modalities. This study was aimed at evaluating our experience with endoscopic variceal ligation with a view to stressing the safety associated with the procedure. A prospective study of consecutive patients presenting to the Jos University Teaching Hospital and FOMAS hospital endoscopic units was conducted over a 6 year period. A total of 199 sessions of endoscopic sessions were carried out on 83 patients with different grades of varices. There were 68 males and 15 females (M:F = 4.5:1). The mean age of the study population was 48 +/- 7.4 years with age range of 17 to 63 years. The number of sessions of banding required for variceal obliteration in this study varied from 43 (51.8%) who had 3 sessions of banding, 30 (36.1%) who had 2 sessions and 10 (12.0%) that had a single session of variceal band ligation. All patients were placed on Propanolol tablets. There were no recorded episodes of procedure related bleeding, significant re-bleeding, post-procedure retrosternal pain, stricture or ulceration in this study, attesting to the safety of endoscopic variceal ligation.
Keywords
Oesophageal Varices, Varices, Endoscopic Variceal Ligation, Variceal
To cite this article
Ale Alexander Femi, Achinge Godwin Ior, Peter Solomon Danjuma, Shitta Andrew Haruna, Misauno Michael Ayedima, Endoscopic Variceal Band Ligation: A Safe Way to Treat Oesophageal Varices, Clinical Medicine Research. Vol. 5, No. 3, 2016, pp. 35-38. doi: 10.11648/j.cmr.20160503.14
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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