Emergency endoscopic ligation of actively bleeding gastric varices with a detachable snare

Cipolletta, Livio; Bianco, Maria Antonia; Rotondano, G.; Piscopo, Roberto; Prisco, A.; Garofano, Maria Lucia

doi:10.1016/s0016-5107(98)70227-5

Cited by 62 publications

(23 citation statements)

References 7 publications

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“…Ligation with detachable snare has been successfully deployed in the arresting and control of bleeding of oesophageal [17,18], gastric varices [19], GIST [20], as well as in the management of the large penduculated submucosal tumors [21-23] and ileal lipoma [24]. Despite these publications the utilisation of endoloop for treating submucosal lesions has been mainly reflected by single case reports or small case series [25].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ligation (“Loop-And-Let-Go”) is effective treatment for large colonic lipomas: a prospective validation study

et al. 2014

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BackgroundColonic lipomas (CL) are rare benign adipose tumours usually found incidentally during colonoscopy. Endoscopic resection of symptomatic large CL remains controversial, since significant rates of perforation have been reported. In recent years, a novel technique for removal of large CL has been described, consisting of looping and ligating the lipoma with a nylon snare. The aim of our study was to evaluate the safety and efficacy of the “loop and let go” technique for large colon lipomas in a large case series.MethodsConsecutive patients referred to our institution for colonoscopy were eligible for the study. The diagnosis of CL was confirmed endoscopically by “pillow” and “naked fat” signs. Following diagnosis, lipomas were looped and ligated by endoloop. Follow-up colonoscopies were scheduled at 1- and 3-months interval.ResultsA total of 11 patients with large CL were enrolled in study. The indications for the colonoscopy included altered bowel habits (7 patients, 64%), screening for colorectal neoplasm (3 pts, 27%) and lower gastrointestinal bleeding (1 pts, 9%). The median lesion size was 3 cm (range 2,5-6 cm). Lesions were located at the hepatic flexure in 4 patients (36%), cecum and ascending colon (4 pts, 36%), rectosigmoid (2 pts, 18%) and transverse colon (1 pts, 9%). There were no immediate and late complications. On follow-up (median follow-up time 11,9 months, range 8–24), there was one small residual lipoma (<1 cm).ConclusionThe results of this study confirm that “loop-and-let-go” technique is safe and efficacious treatment of large colonic lipomas.

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Section: Discussionmentioning

confidence: 99%

Endoscopic ligation (“Loop-And-Let-Go”) is effective treatment for large colonic lipomas: a prospective validation study

et al. 2014

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“…19-21 A few reports have indicated the effi cacy of EVL for gastric varices, and its advantage in emergent hemostasis of bleeding gastric varices is that vital signs are quickly stabilized and hemostasis can be visualized. 6,8,28,30 In our study, we selected EVL for initial control of bleeding gastric varices, followed by EIS with N-butyl-2-cyanoacrylate. A previous study used EVL and EIS with 1% polidocanol for gastric varices, 31 and we selected cyanoacrylate for use in this study.…”

Section: Discussionmentioning

confidence: 99%

“…11,[20][21][22] The effi cacy and safety of endoscopic variceal ligation (EVL) for bleeding esophageal varices has been established, [22][23][24][25][26][27] but its application for gastric varices has rarely been reported, because of rebleeding after treatment. [28][29][30] The aim of this study was to evaluate the effi cacy and safety of N-butyl-2-cyanoacrylate injection combined with EVL for endoscopic hemostasis of bleeding gastric varices performed emergently. In addition, we evaluated 5-year survival after treatment of bleeding gastric varices with this combined method.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic hemostasis for bleeding gastric varices treated by combination of variceal ligation and sclerotherapy with N-butyl-2-cyanoacrylate

Sugimoto

Watanabe

et al. 2007

J Gastroenterol

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“…Recently, there have been remarkable advances in endoscopic, surgical, radiologic, and pharmacologic treatment for gastric varices. Band ligation 7 and loop ligation 16,17 were reported to be effective new therapies for gastric variceal bleeding. The rebleeding rate after band ligation was found to be significantly lower than that reported for patients treated by sclerotherapy.…”

Section: Surgerymentioning

confidence: 99%

Long-term results of endoscopic Histoacryl injection sclerotherapy for gastric variceal bleeding: A 10-year experience

Akahoshi

Hashizume

Shimabukuro

et al. 2002

Surgery

133

108

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Emergency endoscopic ligation of actively bleeding gastric varices with a detachable snare

Cited by 62 publications

References 7 publications

Endoscopic ligation (“Loop-And-Let-Go”) is effective treatment for large colonic lipomas: a prospective validation study

Endoscopic ligation (“Loop-And-Let-Go”) is effective treatment for large colonic lipomas: a prospective validation study

Endoscopic hemostasis for bleeding gastric varices treated by combination of variceal ligation and sclerotherapy with N-butyl-2-cyanoacrylate

Long-term results of endoscopic Histoacryl injection sclerotherapy for gastric variceal bleeding: A 10-year experience

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