Endoscopic variceal ligation in children

Nijhawan, Sandeep; Patni, T.; Sharma, Usha; Rai, Rohit; N, Miglani

doi:10.1016/0022-3468(95)90406-9

Cited by 21 publications

(12 citation statements)

References 8 publications

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“…However, studies of EVL in children are on a limited number of children only. 14,23,24,[26][27][28][29][30][31] On the other hand, efficacy of EST has been studied on a large number of children. [5][6][7][8][9][10]22 As in adults, [18][19][20] we have also clearly demonstrated that the EVL group required fewer endoscopy sessions and had lesser complications.…”

Section: Discussionmentioning

confidence: 99%

Band Ligation Plus Sclerotherapy Versus Sclerotherapy Alone in Children With Extrahepatic Portal Venous Obstruction

Poddar

Thapa

Singh

2005

Journal of Clinical Gastroenterology

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Although endoscopic band ligation (EVL) plus sclerotherapy (EST) has shown to be superior to any individual method, there is no study in children. We therefore analyzed our experience of EST and EVL + EST in children with extrahepatic portal venous obstruction (EHPVO). Over a period of 8 years, 136 children who presented with a history of recent variceal bleeding due to EHPVO were studied; 30 of them received EVL + EST and 106 received EST alone. In the EVL + EST group, after the first session of EVL, EST was done three times weekly until variceal eradication was achieved. The mean age of these children was 7 +/- 3.6 years with a male-to-female ratio of 2.6:1. The rate of eradication was comparable in both groups (100% in EVL + EST and 96% in EST). However, EVL + EST group required a significantly fewer sessions and lower volume of sclerosant (2 +/- 1 vs. 4.4 +/- 2 sessions, P < 0.001 and 3.1 +/- 2 mL versus 7.5 +/- 4 mL, P < 0.001 respectively). There were significantly less complications in EVL + EST group (10% vs. 36%, P < 0.01). Over a mean follow-up of 27 months, varices recurred in 6.6% and 10% cases, respectively. EVL + EST is a better method in the treatment of esophageal varices in children with EHPVO than EST alone, as it required fewer session and had fewer complication.

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Section: Discussionmentioning

confidence: 99%

Band Ligation Plus Sclerotherapy Versus Sclerotherapy Alone in Children With Extrahepatic Portal Venous Obstruction

Poddar

Thapa

Singh

2005

Journal of Clinical Gastroenterology

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“…Published series report successful variceal band ligation in children, with the youngest ranging from 1 to 4 years of age. [57][58][59][60][61][62][63] Injection needles, multipolar/bipolar electrocautery probes, and argon plasma coagulation probes are all available in sizes small enough to pass through a 2-mm channel for use in infants too small to tolerate a standard gastroscope.…”

Section: Hemostatic Devicesmentioning

confidence: 99%

Equipment for pediatric endoscopy

Barth

Banerjee²,

Bhat³

et al. 2012

Gastrointestinal Endoscopy

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“…10 Several previous experience suggested that this technique is safe & effective in children. [16][17][18][19][20] A pediatric stud analyzed the endoscopic sclerotherapy & band ligation and reached the conclusion that EVL was much more effective than scerotherapy and achieved variceal obliteration faster with fewer treatment sessions. 10 In a recent randomized controlled trial comparing EST and EVL for bleeding esophageal varices in children with EHPVO, it was found that, EVL eradicated varices within fewer endoscopy sessions (3.9 ± 1 vis 6.1 ± 1.7).…”

Section: Discussionmentioning

confidence: 99%