Endoscopic band ligation for control of nonvariceal upper GI hemorrhage: Comparison with bipolar electrocoagulation

Matsui, Shigenaga; Kamisako, Toshinori; Kudo, Masatoshi; Inoue, Ryo

doi:10.1067/mge.2002.121337

Cited by 78 publications

(44 citation statements)

References 18 publications

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“…Endoscopic band ligation (EBL) had been used for the treatment of esophageal varices [6][7][8][9][10] . Recently, EBL has been applied for hemostasis of colonic diverticular hemorrhage [11][12][13][14][15] and non-variceal upper gastrointestinal bleeding [16][17][18][19][20] . There are some reports concerning the use of EBL for treating small intestinal bleeding lesions [13,[21][22][23] , though the safety and efficacy of this use has not been established.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic band ligation for bleeding lesions in the small bowel

Ikeya¹

2014

WJGE

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AIM:To investigate the safety and efficacy of endoscopic band ligation (EBL) for bleeding lesions in the small bowel.METHODS: This is a retrospective study evaluating EBL in six consecutive patients (three males, three females, 46-86 years of age) treated between May 2009 and February 2014: duodenal vascular ectasia; 1, jejunal bleeding diverticulum; 1, ileal Dieulafoy's lesion; 1 and ileal bleeding diverticula; 3. The success of the initial hemostasis was evaluated, and patients were observed for early rebleeding (within 30 d after EBL), and complications such as perforation and abscess formation. Follow-up endoscopies were performed in four patients. RESULTS:Initial hemostasis was successfully achieved with EBL in all six patients. Eversion was not sufficient in four diverticular lesions. Early rebleeding occurred three days after EBL in one ileal diverticulum, and a repeat endoscopy revealed dislodgement of the O-band and ulcer formation at the banded site. This rebleeding was managed conservatively. Late rebleeding occurred in this case (13 and 21 mo after initial EBL), and re-EBL was performed. Follow-up endoscopies revealed scar formation and the disappearance of vascular lesions at the banded site in the case with a duodenal bleeding lesion, and unresolved ileal diverticula in three cases. Surgery or transarterial embolization was not required without any complications during the median follow-up period of 45 (range, 2-83) mo. CONCLUSION:EBL is a safe and effective endoscopic treatment for hemostasis of bleeding lesions in the small bowel.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Endoscopic band ligation; Small bowel; Diverticular hemorrhage; Jejunal bleeding; Ileal bleeding; Therapeutic endoscopy; Hemostasis Core tip: There have been few reports regarding the use of endoscopic band ligation (EBL) for the treatment of bleeding lesions in the small intestine. The present study demonstrates safe and effective use of EBL to treat six patients with small bowel lesions including, duodenal vascular ectasia, ileal Dieulafoy's lesion, and jejunal and ileal bleeding diverticula. Although the bleeding was successfully managed in all patients, those with diverticular bleeding in the small bowel should be closely monitored after an initial EBL.

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Section: Introductionmentioning

confidence: 99%

Endoscopic band ligation for bleeding lesions in the small bowel

Ikeya¹

2014

WJGE

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“…The application of the electrocoagulation in a wet field, as occurs when there is significant bleeding, also decreases the effectiveness of coagulation because the liquid dissipates the heat quickly, thereby reducing the effect on the tissue. The reported rate of initial hemostasis was 83.3% for patients with actively bleeding MWS (12).…”

Section: Discussionmentioning

confidence: 99%

“…The aim of this technique is to create therapeutically effective temperatures for thermal hemostasis and/or the ablation of pathologic tissue (12). Our search of the PubMed database revealed no literature on the use of endoscopic therapy in MWS.…”

Section: Introductionmentioning

confidence: 99%

Mallory-Weiss sendromunun argon plazma koagülasyonu ile tedavisi

Bektaş¹,

Korkut²,

İdilman³

et al. 2015

Endoskopi Gastrointestinal

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Endoskopik hemostaz metotlar› Mallory-Weiss Sendromuna ba¤l› üst gastrointestinal kanamalarda güvenli ve etkin bir yaklafl›m olarak kabul edilmektedir. Kronik öksürü¤ü olan 62 yafl›ndaki bir erkek hasta ve 27 yafl›nda 10 haftal›k gebe hasta klini¤imize ciddi hematemez bulgular›yla baflvurdu. Bu hastalara üst gastrointestinal endoskopi uyguland› ve Mallory Weiss sendromu tan›s› kondu. ‹fllem s›ras›nda koagülum ve visible vessel görüldü ve bu lezyonlara argon plazma koagülasyonu uyguland›. Argon plazma koagülasyonu sonras›nda tam bir kanama kontrolü sa¤land› ve takipte kanama tekrarlamad›. Sonuç olarak argon plazma koagülasyonu aktif kanayan non fibrotik Mallory-Weis sendromu olan hastalarda gecikmifl hemoraji ve perforasyon gibi minimal komplikasyon riskiyle kolayl›kla uygulanabilir. Anahtar kelimeler: Argon plazma koagülasyon, Mallory-Weiss sendromuThe endoscopic hemostatic method has been introduced as a safe and effective mechanical approach to hemostasis for upper gastrointestinal bleeding related to Mallory-Weiss syndrome. A 62-year-old male patient with chronic cough and a 27-year-old 10-week pregnant female were admitted to our clinic with gross hematemesis. Upper gastrointestinal endoscopy was performed and Mallory-Weiss syndrome was diagnosed. Coagulum and visible vessels were observed during the procedure. Argon plasma coagulation was applied. After argon plasma coagulation, complete hemostasis was achieved and rebleeding did not occur. In conclusion, argon plasma coagulation can be performed easily and with minimum risk of complications such as perforation or delayed hemorrhage in patients with actively bleeding non-fibrotic Mallory-Weiss syndrome.

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“…More recently, endoscopic band ligation has been used in the management of nonvariceal gastrointestinal tract hemorrhages including those associated with DieulafoyÕs lesion [4], polypectomy [22], and angiodysplasia [5]. Endoscopic band ligation has been compared with established procedures for control of gastrointestinal tract hemorrhage in terms of effectiveness, safety, and simplicity [6,16,19]. However, few patients with MWS treated by the use of endoscopic ligation have been reported [9,15,16,24].…”

mentioning

confidence: 99%

“…Endoscopic band ligation has been compared with established procedures for control of gastrointestinal tract hemorrhage in terms of effectiveness, safety, and simplicity [6,16,19]. However, few patients with MWS treated by the use of endoscopic ligation have been reported [9,15,16,24]. We therefore prospectively evaluated the clinical usefulness of endoscopic band ligation for MWS.…”

mentioning

confidence: 99%