Case report

Endoscopic Therapy of Gastroesophageal Variceal Hemorrhage

Neven Ljubičić
Martina Špero

Abstract

Current concepts of endoscopic treatment of gastroesophageal variceal hemorrhage are discussed. There are two major endoscopic treatments of gastroesophageal varices: endoscopic injection sclerotherapy (EIS) and endoscopic variceal ligation (EVL). EIS and EVL alone are equally effective in controlling acute variceal bleeding; however, EVL is superior to EIS because it achieves variceal obliteration faster and with a lower rate of complications and rebleeding. Considering combined technique of EVL and EIS, it appears that initial EVL followed by long-term EIS on later sessions, when banded varices have become smaller, probably is a wiser approach for safe and long-lasting variceal eradication. Histoacryl as a tissue glue is the only endoscopic treatment that has been proved to be effective for gastric varices. The use of endoscopic clips alone in the treatment of varices remains uncommon. The role of endoscopic ultrasound increases in the evaluation of portal hypertension, and it may gain a role in choosing an optimal treatment approach for individual patients.

Keywords

Esophageal and gastric varices, therapy; Gastrointestinal hemorrhage, therapy; Endoscopy, digestive system

Hrčak ID:

14860

URI

https://hrcak.srce.hr/14860

Publication date:

1.6.2001.

Article data in other languages: croatian

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