A Randomized Control Trial of Bi-Monthly Versus Bi-Weekly Endoscopic Variceal Ligation of Esophageal Varices

Yoshida, Hiroshi; Mamada, Yasuhiro; Taniai, Nobuhiko; Yamamoto, Kazuhito; Kawano, Youichi; Mizuguchi, Yoshiaki; Shimizu, Tetsuya; Takahashi, Tsubasa; Tajiri, Takashi

doi:10.1111/j.1572-0241.2005.41864.x

Cited by 68 publications

(42 citation statements)

References 13 publications

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“…These include using proton pump inhibitors or sucralfate to reduce esophageal ulceration [60], using multibanders, and increasing the interval between banding sessions [61].…”

Section: Recommendationsmentioning

confidence: 99%

Primary prophylaxis of gastroesophageal variceal bleeding: consensus recommendations of the Asian Pacific Association for the Study of the Liver

et al. 2008

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The Asian Pacific Association for the Study of the Liver (APASL) set up a Working Party on Portal Hypertension in 2002, with a mandate to develop consensus guidelines on various clinical aspects of portal hypertension relevant to disease patterns and clinical practice in the Asia-Pacific region. Variceal bleeding is a consequence of portal hypertension, which, in turn, is the major complication of liver cirrhosis. Primary prophylaxis to prevent the first bleed from varices is one of the most important strategies for reducing the mortality in cirrhotic patients. Experts predominantly from the Asia-Pacific region were requested to identify the different aspects of primary prophylaxis and develop the consensus guidelines. The APASL Working Party on Portal Hypertension evaluated the various therapies that have been used for the prevention of first variceal bleeding. A 2-day meeting was held on January 12 and 13, 2007, at New Delhi, India, to discuss and finalize the consensus statements. Only those statements that were unanimously approved by the experts were accepted. These statements were circulated to all the experts and were subsequently presented at the annual conference of the APASL at Kyoto, Japan, in March 2007.

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“…These include using proton pump inhibitors or sucralfate to reduce esophageal ulceration [60], using multibanders, and increasing the interval between banding sessions [61].…”

Section: Recommendationsmentioning

confidence: 99%

Primary prophylaxis of gastroesophageal variceal bleeding: consensus recommendations of the Asian Pacific Association for the Study of the Liver

et al. 2008

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“…Treatment sessions separated by a longer EVs. Treatment sessions separated by a longer s. Treatment sessions separated by a longer interval had a higher rate of total eradication and lower rates of recurrence and additional treatment [36] .…”

Section: Intravariceal Endo�copic Injection �Clerotherapy Followed Bymentioning

confidence: 99%

“…Two endoscopic techniques are used to treat EVs: endoscopic injection sclerotherapy (EIS) and endoscopic variceal ligation (EVL) [31][32][33][34][35][36][37] . Whenever possible, endoscopic treatment was performed at 2-wk intervals by three expert endoscopists, using a television endoscopy system with computer-stored endoscopic images.…”

Section: Endoscopic Treatmentmentioning

confidence: 99%

New methods for the management of esophageal varices

Yoshida

Mamada²,

Taniai³

et al. 2007

WJG

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“…Two endoscopic treatment modalities are used for the treatment of esophagogastric varices: endoscopic injection sclerotherapy (EIS) and endoscopic variceal ligation (EVL) [19][20][21][22][23][24][25][26] . EIS can be accomplished by either intravariceal EIS or extravariceal EIS [21][22][23]26] .…”

Section: Endoscopic Treatmentmentioning

confidence: 99%

New methods for the management of gastric varices

Yoshida¹

2006

WJG

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Bleeding from gastric varices has been successfully treated by endoscopic modalities. Once the bleeding from the gastric varices is stabilized, endoscopic treatment and/or interventional radiology should be performed to eradicate varices completely. Partial splenic artery embolization is a supplemental treatment to prolong the obliteration of the veins feeding and/or draining the varices. The overall incidence of bleeding from gastric varices is lower than that from esophageal varices. No studies to date have definitively characterized the causal factors behind bleeding from gastric varices. The initial episodes of bleeding from esophageal varices or gastric varices without prior treatment may be at least partly triggered by a violation of the mucosal barrier overlying varices. This is especially likely in the case of varices of the fundus. In view of the high rate of hemostasis achieved among bleeding gastric varices, treatment should be administered in selective cases. Among untreated cases, steps to prevent gastric mucosal injury confer very important protection against gastric variceal bleeding.

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A Randomized Control Trial of Bi-Monthly Versus Bi-Weekly Endoscopic Variceal Ligation of Esophageal Varices

Cited by 68 publications

References 13 publications

Primary prophylaxis of gastroesophageal variceal bleeding: consensus recommendations of the Asian Pacific Association for the Study of the Liver

Primary prophylaxis of gastroesophageal variceal bleeding: consensus recommendations of the Asian Pacific Association for the Study of the Liver

New methods for the management of esophageal varices

New methods for the management of gastric varices

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