Recurrence of esophageal varices after endoscopic band ligation: single centre experience

Abstract

Background and objective. Endoscopic band ligation is the main endoscopic treatment for esophageal varices, but the main problem after endoscopic treatment is variceal recurrence. The aim of this study was to evaluate and determine the esophageal varices recurrence rate and the time interval after endoscopic band ligation and to investigate possible risk factors affecting recurrence. Material and methods. The retrospective analysis of endoscopic band ligation procedures, performed in Vilnius University Hospital Santariskiu Clinics during the period 2006-2010, was made. 133 endoscopic band ligation procedures were included in the study. Results. After endoscopic band ligation, esophageal varices recurred in 45% of cases. The early recurrence of esophageal varices occurred in 46.7% of cases. Extrahepatic portal hypertension and a greater size of varices lead to the statistically significant early recurrence of esophageal varices after endoscopic band ligation. Conclusions. Endoscopic band ligation is associated with a high recurrence rate of esophageal varices and half of these cases were indentified as early variceal recurrence.

Outcome of Band Ligation in Esophageal Varices of Bangladeshi Children: A Tertiary Centre Experience

“…Recurrence of bleeding was much more in intra-hepatic cases (91.7%) than extra-hepatic cases (8.3%). 15 In our study, recurrence of bleeding occurred in 100% intra-hepatic cases and 50% prehepatic cases. Masalaite et al 15 also showed that early re-bleeding was more in intra-hepatic cases (82.1%) & less in pre-hepatic (17.9%) cases.…”

“…Once varices have developed, they increases in size and eventually cause variceal bleeding. 15 This is an emergency with high rates of morbidity & mortality. 12 EVL is the gold standard for the treatment of acute bleeding of esophageal varices.…”