The Efficacy of Band Ligation for Gastroesophageal Varices 2-3 Sm Distal to Z-Line

Aims The main accepted methods are band ligation and obliteration with cyanoacrylate glue for gastroesophagel variceal bleeding. The aim of this study to evaluate the efficacy of band ligation for varices 2-3 sm distal to Z -line.

Methods 73 patients were admitted with acute gastroesophageal variceal hemorrhage in Mikaelyan University Hospital during November, 2019-October,2020. The cause of portal hypertension was liver cirrhosis (HCV, HBV, ALD, NAFLD) for 69 patients and HCC for 4 patients. The cyanoacrylate glue was used for isolated gastric variceal bleeding cases. The band ligation was used for esophageal variceal bleeding cases. In 23 (31,5 %) cases were continued gastroesophageal varices (GOV 1, GOV 2 by Sarin classification), and the source of bleeding was 2-3 sm distal to Z-line. The endoscopic cap was used for anterograde observation of varices and provided higher visibility for bleeding sources in the mentioned location. The localisation of bleeding allowed to place one band ligator distal to Z -line for each patient. The esophageal varices were ligated during the same procedure. All patients were dated for the next endoscopy within 4 weeks for the subsequent prophylactic band ligation.

Results Only one patient had early recurrent variceal bleeding within 7 days. The band ligation was effective for remaining 22 cases.They did not have recurrent bleeding episode during next 4 weeks.

Conclusions The band ligation could be effective for varices 2-3sm distal to Z line.

Citation: Manukyan K, Khalatyan A, Khachatryan S et al. eP93 THE EFFICACY OF BAND LIGATION FOR GASTROESOPHAGEAL VARICES 2-3 SM DISTAL TO Z-LINE. Endoscopy 2021; 53: S126.

Publication History

Article published online:
19 March 2021