Endoscopic Treatment of Esophageal Varices in Cirrhotic Patients: Band Ligation Versus Cyanoacrylate Injection

Santos, Marcus; Rodrigues, Rodrigo Azevedo; Lenz, Luciano; Nakao, Frank Shigeo; Röhr, Maria Rachel da Silveira; Kondo, Mário; Ferrari, Ângelo Paulo; Líbera, Ermelindo Della

doi:10.1016/j.gie.2007.03.018

Cited by 7 publications

(9 citation statements)

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“…For example, in the USA an estimated 18 170 cases of esophageal cancer were diagnosed in 2013, and 15 450 deaths are expected from the disease [8]. The guidelines also recommend that patients with medium or large varices (grades III, IV) be treated with a combination therapy of β-blockers and endoscopic variceal band ligation [13][14][15][16][17]. In the same context, almost half of the patients with hepatic cirrhosis have esophageal varices, and one-third of all patients with varices will develop variceal hemorrhage, a major cause of morbidity and mortality in patients with liver cirrhosis.…”

Section: Discussionmentioning

confidence: 99%

Screening esophagus during routine ultrasound

Elrazek

Eid²,

Elsherif³

et al. 2015

European Journal of Gastroenterology &Amp; Hepatology

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Section: Discussionmentioning

confidence: 99%

Screening esophagus during routine ultrasound

Elrazek

Eid²,

Elsherif³

et al. 2015

European Journal of Gastroenterology &Amp; Hepatology

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“…Santos et al [36] prospectively compared EVL with N-butylcyanoacrylate ES in 38 patients, showing no significant differences in rates of variceal eradication (90% versus 72%, P ¼ .39), mortality (55% versus 56%, P ¼ .52), or major complications (5% versus 17%, P ¼ .32). Two additional randomized controlled trials specifically comparing EVL and ES in acute bleeding esophageal varices [32,37] showed that both modalities effectively arrested active bleeding.…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria® Radiologic Management of Portal Hypertension

Imaging

Pinchot

Kalva

et al. 2021

Journal of the American College of Radiology

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Cirrhosis is a heterogeneous disease that cannot be studied as a single entity and is classified in two main prognostic stages: compensated and decompensated cirrhosis. Portal hypertension, characterized by a pathological increase of the portal pressure and by the formation of portal-systemic collaterals that bypass the liver, is the initial and main consequence of cirrhosis and is responsible for the majority of its complications. A myriad of treatment options exists for appropriately managing the most common complications of portal hypertension, including acute variceal bleeding and refractory ascites.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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“…Santos, et al [8] Literature review Secondary prophylaxis is indicated for all patients with bleeding from esophageal varices. In adults, the method considered to be the most effective is the combined use of beta-blocker and LE.…”

Section: Languagementioning

confidence: 99%

Recurrence of Upper Gastrointestinal Hemorrhage in Sclerotherapy X Elastic Ligature: Systematic Review

Sander¹

2021

AJGH

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Objectives: To compare, through a systematic review, the recurrence of upper digestive hemorrhage in the techniques of sclerotherapy and elastic ligation. Methods:The most relevant studies in the MedLine, Bireme and Scielo databases were analyzed. The search strategy used the following keyword combinations: ("High Digestive Hemorrhage, Sclerotherapy, Elastic Bandage").Results: There were 9 studies selected from the crossword of the keywords, and of these, only 6 were used in the studies after applying the Randomized Controlled Trial and Clinical Trials filters. Conclusion:There is no definite consensus on which technique -sclerotherapy or elastic ligation -could be associated with a lower risk of recurrence in cases involving upper gastrointestinal bleeding. The literature shows advantages both in the technique of sclerotherapy and in the technique of elastic ligation, and in general, it is nowadays observed that the technique considered gold standard for these cases is the technique of elastic ligation, although many professionals still opt for sclerotherapy, especially in surgical intervention in pediatric patients.

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Endoscopic Treatment of Esophageal Varices in Cirrhotic Patients: Band Ligation Versus Cyanoacrylate Injection

Cited by 7 publications

References 0 publications

Screening esophagus during routine ultrasound

Screening esophagus during routine ultrasound

ACR Appropriateness Criteria® Radiologic Management of Portal Hypertension

Recurrence of Upper Gastrointestinal Hemorrhage in Sclerotherapy X Elastic Ligature: Systematic Review

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