Comparative study of emergency endoscopic variceal ligation and endoscopic variceal sclerotherapy in the treatment of esophageal variceal bleeding

Objective To evaluate the safety and efficiency of emergency endoscopic variceal 1igation (EVL) compared with endoscopic variceal sclerotherapy (EVS) in treatment of esophageal variceal beeding (EVB) .Methods A total of 210 patients with EVB were involved in this study and were treated with emergency EVL or EVS randomly respectively.The effective rate of hemostasis, recently rebleeding rate, disappearance rate of esophageal varices, adverse reaction, complications and mortality rate was compared and analyzed between two groups.Results The effective rate of emergency hemostasis was 95.4% in EVL group and 96.0% in EVS group, recently rebleeding rate was 4.8% and 4.1% in EVL group and EVS group respectively;disappearance rate of esophageal varices in EVL group was significantly higher than that in EVS group (P<0.01) .There was no difference of adverse reaction, complicatlons and mortality rate between the two groups.Clinical efficacy was positively correlated with liver function.Conclusion Both emergency EVL and EVS are effective and safe technique in the treatment of patients with EVB.Which method is the better for the patients with EVB depends on the condition of the patient.