Evaluation of endoscopic variceal band ligation sessions in obliteration of esophageal varices

Endoscopic variceal band ligation

  • Haris Alvi Dow University of Health Sciences
  • Bader Faiyaz Zuberi Dow University of Health Sciences
  • Tazeen Rasheed Dow University of Health Sciences
  • Muhammad Asad Ibrahim Dow University of Health Sciences
Keywords: Esophageal varices, Band Ligation, Cirrhosis, Hepatitis C, Upper GI Bleed

Abstract

Objective: To determine number of sessions of Endoscopic variceal band ligation required to obliterate the esophageal varices.

Methods: This study was conducted at Civil Hospital Karachi between June 2018 to April 2019. All patients undergoing endoscopic Variceal Band Ligation (EVBL) were inducted. Number of sessions of band ligation required to obliterate the varices were recorded. Number of EVBL sessions were correlated with Child-Pugh’s Score and etiology of CLD by χ2 test, while it was compared with duration of Chronic Liver Disease (CLD) by One-way ANOVA test.

Results: One hundred ninety-two patients fulfilling selection criteria were admitted after informed consent. These included 101 (52.6%) males and 91 (47.4%) females. Most common cause of cirrhosis was HCV (66.7%) in our patients. Most of the patients were in Child Class-B (71.9%). Majority of patients (52.6%) underwent 3 sessions of EVBL while 68 (35.4%) underwent 4 sessions of EVBL. Duration of CLD was analyzed with number of sessions of EVBL by One-Way ANOVA test and it showed significant more sessions of EVBL were done with longer duration of CLD (p <0.001).

Conclusion: Most patients underwent 3-4 sessions of EVBL for obliteration of varices. Number of EVBL sessions increased significantly with duration of disease.

doi: https://doi.org/10.12669/pjms.36.2.1144

How to cite this:
Alvi H, Zuberi BF, Rasheed T, Ibrahim MA. Evaluation of endoscopic variceal band ligation sessions in obliteration of esophageal varices. Pak J Med Sci. 2020;36(2):37-41. doi: https://doi.org/10.12669/pjms.36.2.1144

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Haris Alvi, Dow University of Health Sciences

Professor Medicine

Tazeen Rasheed, Dow University of Health Sciences

Assistant Professor Medicine

Muhammad Asad Ibrahim, Dow University of Health Sciences

Postgraduate Trainee

Published
2019-12-14
How to Cite
Alvi, H., Zuberi, B., Rasheed, T., & Ibrahim, M. (2019). Evaluation of endoscopic variceal band ligation sessions in obliteration of esophageal varices. Pakistan Journal of Medical Sciences, 36(2). https://doi.org/10.12669/pjms.36.2.1144
Section
Original Articles

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