Large paraesophageal varices on endosonography predict recurrence of esophageal varices and rebleeding

Gastroenterology
V K LeungS C Chung

Abstract

Recurrence of varices and rebleeding after endoscopic therapy is very common. Data on the prediction of recurrent varices after initial obliteration by endoscopic therapy are few. The aim of this study was to correlate the presence and the size of paraesophageal varices (PEVs) in patients after endoscopic variceal ligation with recurrent varices and rebleeding. Forty patients who underwent endoscopic banding ligation for esophageal variceal bleeding were studied by endosonography within 4 weeks after obliteration of varices. PEVs were classified as none, small, or large (maximum diameter, > or =0.5 cm). Esophagoscopy and endosonography were then repeated every 6 months for up to 1 year. Two patients (5%) were not detected to have PEVs. Small and large PEVs were identified in 24 (60%) and 14 (35%) patients, respectively. During the follow-up period of 1-year, recurrent submucosal esophageal varices were detected in 24 patients, including 13 patients (93%) with large PEVs and 11 patients (46%) with no or small PEVs (P = 0.0019). Recurrent bleeding occurred in 6 patients (43%) with large PEVs and in 3 patients (12%) with small PEVs (P = 0.044). Patients with large PEVs have a higher risk of developing recurrent varices and rebleed...Continue Reading

Citations

Mar 30, 2013·World Journal of Gastroenterology : WJG·Aitao SunChun-Qing Zhang
May 22, 2013·The American Journal of the Medical Sciences·Chuangye HeGuohong Han
May 11, 2000·Gastrointestinal Endoscopy·R K Dhiman, Y K Chawla
Aug 5, 2010·Clinics in Liver Disease·Nayantara Coelho-Prabhu, Patrick S Kamath
Aug 5, 2010·Clinics in Liver Disease·Angels Ginès, Glòria Fernández-Esparrach
Sep 15, 2012·Clinical Endoscopy·Jae-Jun Shim
Jun 9, 2007·Gastrointestinal Endoscopy Clinics of North America·Adil Habib, Arun J Sanyal
Jan 18, 2006·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·S N SgourosA Avgerinos
Sep 26, 2002·Gastrointestinal Endoscopy·Joseph J y SungRupert W l Leong
Oct 2, 2003·Gastrointestinal Endoscopy·Paul J Thuluvath, Aruna Krishnan
Sep 22, 2001·Clinics in Liver Disease·V A Luketic
Feb 26, 2016·Gastrointestinal Endoscopy·Fred Olavo Aragão Andrade CarneiroFauze Maluf Filho
Aug 30, 2005·Arquivos De Gastroenterologia·Angelo Paulo FerrariErmelindo Della Libera
Jun 3, 2000·Gastroenterology Clinics of North America·V A Luketic, A J Sanyal
Aug 2, 2000·Gastrointestinal Endoscopy·Y T LeeJ J Sung
Jan 16, 2018·Journal of Hepato-biliary-pancreatic Sciences·Neil D Shah, Todd H Baron
May 1, 2001·Alimentary Pharmacology & Therapeutics·A Helmy, P C Hayes
May 15, 2001·Journal of Gastroenterology and Hepatology·H MizumotoH Saisho
May 15, 2001·Journal of Gastroenterology and Hepatology·A Toyonaga, T Iwao
Sep 8, 2009·European Journal of Gastroenterology & Hepatology·Stefania De Lisi, Elisabetta Buscarini
Jun 29, 1999·Surgical Endoscopy·S C Chung
Apr 30, 2003·World Journal of Gastroenterology : WJG·Radha K Dhiman, Yogesh K Chawla
Dec 2, 2020·Diagnostics·Kazunori NagashimaMakoto Iijima
Aug 10, 2004·Gastroenterology·Anastasios A Mihas, Arun J Sanyal
Jun 2, 2001·Clinics in Liver Disease·N Garcia, A J Sanyal

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