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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 35 Issue 3
Mar.  2019
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Article Contents

Application of reverse ligation in treatment of gastroesophageal varices

DOI: 10.3969/j.issn.1001-5256.2019.03.044
  • Received Date: 2018-10-15
  • Published Date: 2019-03-20
  • As one of the complications of liver cirrhosis, esophageal and gastric varices will seriously threaten patient's life once it rupturesand causes bleeding. At present, endoscopic treatment has become the first-line treatment for this disease. As for gastroesophageal varices, conventional esophageal ligation cannot deal with the varicose veins under the cardia and has a high risk of postoperative recurrence. In re-cent years, reverse ligation, as an effective method for the treatment of gastroesophageal varices, is safe and effective in the treatment of vari-ces and has a similar clinical effect as other endoscopic techniques. This article elaborates on the clinical features and treatment of gastroe-sophageal varices and advantages, limitations, and improvements of reverse ligation.

     

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  • [1] OLSON JC. Intensive care management of patients with cirrho-sis[J]. Curr Treat Options Gastroenterol, 2018, 16 (2) :241.
    [2] TAYYEM O, BILAL M, SAMUEL R, et al. Evaluation and man-agement of variceal bleeding[J]. Dis Mon, 2018, 40 (12) :1861-1865.
    [3] PHILIPS CA, SAHNEY A. Oesophageal and gastric varices:His-torical aspects, classification and grading:Everything in oneplace[J]. Gastroenterol Rep (Oxf) , 2016, 4 (3) :186-195.
    [4] TOSHIKUNI N, TAKUMA Y, TSUTSUMI M. Management of gas-troesophageal varices in cirrhotic patients:Current status and fu-ture directions[J]. Ann Hepatol, 2016, 15 (3) :314.
    [5] SARIN SK, LAHOTI D, SAXENA SP, et al. Prevalence, classi-fication and natural history of gastric varices:A long-term fol-low-up study in 568 portal patients[J]. Hepatology, 1992, 16 (6) :1343-1349
    [6] de FRANCHIS R, Baveno VI Faculty. Expanding consensus inportal hypertension:Report of the Baveno VI Consensus Work-shop:Stratifying risk and individualizing care for portal hyper-tension[J]. J Hepatol, 2015, 63 (3) :743-752.
    [7] FUKUI H, SENO H, KONISHI Y, et al. Improvement of collat-eral vessels in the vicinity of gastric cardia after endoscopicvariceal ligation therapy for esophageal varices[J]. Clin Gas-troenterol Hepatol, 2004, 2 (5) :400-404.
    [8] TAJIRI T, YOSHIDA H, OBARA K, et al. General rules for re-cording endoscopic findings of esophagogastric varices (2ndedition) [J]. Dig Endosc, 2010, 22 (1) :1-9.
    [9] CUI ML, JIA YS, YAN HM, et al. Clinical effect of endoscopicdense ligation in treatment of esophageal variceal bleeding[J]. J Clin Hepatol, 2018, 34 (8) :1683-1688. (in Chi-nese) 崔美兰, 贾彦生, 闫会敏, 等.内镜下密集套扎法治疗食管静脉曲张破裂出血的效果观察[J].临床肝胆病杂志, 2018, 34 (8) :1683-1688.
    [10] KUME K, YAMASAKI M, WATANABE T, et al. Mild collateral vari-ces and a fundic plexus without perforating veins on EUS predictendoscopic non-recurrence of esophageal varices after EVL[J]. Hepatogastroenterology, 2011, 58 (58) :798-801.
    [11] JEONG SW, KIM HS, SANG GK, et al. Useful endoscopic ul-trasonography parameters and a predictive model for the re-currence of esophageal varices and bleeding after varicealligation[J]. Gut Liver, 2017, 11 (6) :843-851.
    [12] HONG HJ, JUN CH, LEE DH, et al. Comparison of endo-scopic variceal ligation and endoscopic variceal obliteration inpatients with GOV1 bleeding[J]. Chonnam Med J, 2013, 49 (1) :14-19.
    [13] KONDO T, MARUYAMA H, KIYONO S, et al. Similaritiesand differences in the clinical features between cardia varicesand esophageal varices[J]. J Gastroenterol Hepatol, 2014, 29 (11) :1911-1918.
    [14] HWANG SS, KIM HH, PARK SH, et al. N-butyl-2-cyano-acrylate pulmonary embolism after endoscopic injection sclero-therapy for gastric variceal bleeding.[J]. J Comput Assist To-mogr, 2001, 25 (1) :16-22.
    [15] KANG EJ, JEONG SW, JANG JY, et al. Long-term result ofendoscopic Histoacryl (N-butyl-2-cyanoacrylate) injectionfor treatment of gastric varices[J]. World J Gastroenterol, 2011, 17 (11) :1494-1500.
    [16] ROS CASTELLANOS E, SERON P, GISBERT JP, et al. Endo-scopic injection of cyanoacrylate glue versus other endoscopicprocedures for acute bleeding gastric varices in patients withportal hypertension[J]. Cochrane Database Syst Rev, 2015, 5 (5) :CD010180.
    [17] FOUAD R, HAMZA I, KHAIRY M, et al. Role of serum solu-ble CD163 in the diagnosis, risk of bleeding, and prognosis ofgastro-esophageal varices in cirrhotic patients[J]. J Interfer-on Cytokine Res, 2017, 37 (3) :112-118.
    [18] KIYONO S, MARUYAMA H, KONDO T, et al. Hemodynamic effectof the left gastric artery on esophageal varices in patients with cir-rhosis[J]. J Gastroenterol, 2016, 51 (9) :1-10.
    [19] ARAKAWA M, MASUZAKI T, OKUDA K. Pathomorphology ofesophageal and gastric varices[J]. Semin Liver Dis, 2002, 22 (1) :73-82.
    [20] TAN PC, HOU MC, LIN HC, et al. A randomized trial of endo-scopic treatment of acute gastric variceal hemorrhage:N-bu-tyl-2-cyanoacrylate injection versus band ligation[J]. Hep-atology, 2006, 43 (4) :690-697.
    [21] TANTAU M, CRISAN D, POPA D, et al. Band ligation vs. N-Butyl-2-cyanoacrylate injection in acute gastric varicealbleeding:A prospective follow-up study[J]. Ann Hepatol, 2014, 13 (1) :75-83.
    [22] SELEEM WM, HANAFY AS. Management of different types ofgastric varices with band ligation:A 3-year experience[J].Eur J Gastroenterol Hepatol, 2017, 29 (8) :968-972.
    [23] XU H, CHEN G, SUN Y, et al. U type retroflexion ligation ther-apy in esophageal and gastric varices[J]. Chin J Dig En-dosc, 2010, 27 (4) :182-185. (in Chinese) 徐红, 陈更, 孙岩, 等.“U型”反转套扎技术在食管胃静脉曲张治疗中的应用[J].中华消化内镜杂志, 2010, 27 (4) :182-185.
    [24] MIYAAKI H, ICHIKAWA T, TAURA N, et al. Endoscopic man-agement of esophagogastric varices in Japan[J]. Ann TranslMed, 2014, 2 (5) :42.
    [25] MCGILL SK, KOTHARI S, FRIEDLAND S, et al. Short turn ra-dius colonoscope in an anatomical model:Retroflexed with-drawal and detection of hidden polyps[J]. World J Gastroen-terol, 2015, 21 (2) :593-599.
    [26] FUJIHARA S, KOBARA H, MORI H, et al. Comparison of ret-roflexed and forward views for colorectal endoscopic submu-cosal dissection[J]. Int J Med Sci, 2015, 12 (6) :450-457.
    [27] ALBUQUERQUE A. Rubber band ligation of hemorrhoids:Aguide for complications[J]. World J Gastrointest Surg, 2016, 8 (9) :614-620.
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