The First Reusable Multiple-Band Ligator for Endoscopic Hemostasis of Variceal Bleeding, Nonvariceal Bleeding and Mucosal Resection

C, Ell; A, May; Wurster, H.

doi:10.1055/s-1999-81

Cited by 37 publications

(14 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…tienen gran experiencia con otro modelo de ligador multibanda reutilizable desarrollado por su grupo, el Euroligator (22). Con este sistema que puede incorporar un total de 5 bandas han obtenido muy buenos resultados, con muy bajo porcentaje de complicaciones y sin perforación (4,13,14,17).…”

Section: Discussionunclassified

Riesgo de perforación en la mucosectomía esofágica con banda: estudio experimental con dos modelos de ligadores

Vázquez-Iglesias

Alonso-Aguirre

Centeno

et al. 2007

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

INTRODUCCIÓNLa mucosectomía es el foco de atención de varios equipos de trabajo que la consideran un método seguro y eficaz para el tratamiento de algunos tumores del aparato digestivo. Principalmente se ha utilizado en carcinomas precoces y adenomas planos en esófago y estó-Riesgo de perforación en la mucosectomía esofágica con banda: estudio experimental con dos modelos de ligadores RESUMENObjetivo: en los últimos años se han publicado varios trabajos que encuentran la mucosectomía con banda (MB) como un méto-do seguro para el tratamiento de algunos tumores esofágicos, gás-tricos y colorrectales. Hemos realizado este estudio en animales de experimentación (cerdos) para comparar la seguridad de la MB en esófago, con dos modelos de ligadores multibanda, ya que muchos centros sólo disponen de estos modelos de ligadores comercializados para la ligadura de varices esofágicas.Métodos: se utilizaron 8 cerdos en los que se realizaron 23 resecciones esofágicas sin inyección previa. Se hicieron 10 resecciones con el modelo Six Shooter Saeed y 13 resecciones con el modelo Speedband Superview Super 7. También se comparó la técnica realizando el corte aleatoriamente por debajo o por encima de la banda.Resultados: se produjeron 5 perforaciones, todas con el modelo Speedband. Del total de casos en los que se utilizó este modelo se perforaron el 38,5% frente a ninguna de las intervenciones con el modelo Six Shooter, lo que alcanzó significación estadística (p = 0,046). No hubo deferencias estadísticamente significativas en la frecuencia de perforación, entre realizar el corte por debajo o por encima de la banda.Conclusiones: MB esofágica realizada con el modelo Speedband sin inyección previa, da lugar a perforación en un porcentaje elevado de casos en el animal de experimentación. Se precisan más estudios para establecer si la inyección previa incrementa la seguridad de la técnica con este modelo de ligador.Palabras clave: Riesgo de perforación. Etudio experimental. Modelo de ligador. ABSTRACTObjective: endoscopic mucosal resection with ligation (EMRL) is considered an efficient, safe method for the treatment of some esophageal, gastric and colorectal tumors. We conducted this study using a porcine model in order to compare the safety of esophageal EMRL with two multiband ligation systems, since many centers only use these ligator models in EMRL (commercialized for varix ligation).Methods: eight pigs were used, which were submitted to 23 esophageal resections without previous injection. Ten resections were conducted using the Six Shooter Saeed model, and 13 resections used the Speedband Superview Super 7 model. The technique was also compared by making random cuts either above or below the band.Results: five perforations occurred, all of them using the Speedband model. This represents 38.5% of total in the Speedband model group. No perforation occurred when using the Six Shooter model (p = 0.046). On the contrary, no significant differences were found regarding frequency of perforation when cutting above or below the band.Co...

show abstract

Section: Discussionunclassified

Riesgo de perforación en la mucosectomía esofágica con banda: estudio experimental con dos modelos de ligadores

Vázquez-Iglesias

Alonso-Aguirre

Centeno

et al. 2007

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

show abstract

“…After a thorough clinical and physical examination, 40 volunteers without obvious defect in cardiovascular or digestive system were studied as control group. Procedures of EVL-PSE (1) The procedure of EVL has been described in detail elsewhere [1][2][3][4][5][6] . Ligation was performed at 1 to 5 cm above the gastroesophageal junction with 6 to 12 ligation sites per individual.…”

Section: Patientsmentioning

confidence: 99%

“…(3) The PSE procedures: Selective splenic arterial cannulation and angiography were accomplished with a Seldinger's puncture of femoral artery [7] to evaluate the mass of the spleen and its vascular supply. The catheter reached the far end of the splenic artery as possible, through which granules of Gelfoam (1-2 mm 3 ) soaked in certain antibody were injected so as to make the peripheral branches embolized. According to the area differences judged from the angiography before and after PSE as well as the CT results, we estimated the infarction size.…”

Section: Patientsmentioning

confidence: 99%

Therapeutic effects of endoscopic variceal ligation combined with partial splenic embolization for portal hypertension

Liu²,

Lin³

2004

WJG

View full text Add to dashboard Cite

AIM:To evaluate the feasibility of a new strategy of endoscopic variceal ligation combined with partial splenic embolization (EVL-PSE) for patients with cirrhosis and portal hypertension. METHODS:From May 1999 to May 2002, 41 cases with cirrhosis and portal hypertension underwent EVL-PSE. Hemodynamics of the main portal vein (MPV), the left gastric vein (LGV) and azygos vein, including maximum velocity, flow rate and vein diameter, were assessed by Doppler ultrasonography. RESULTS:One case died from pulmonary artery embolism. One case complicated with splenic abscess was successfully managed by laparotomy. The esophageal varices and hypersplenism were well controlled after EVL-PSE in other patients. After EVL-PSE, the flow rate and velocity of MPV was significantly reduced (P<0.05), as well as the flow rate of the LGV and azygos vein. During the follow-up, no recurrent bleeding was found. CONCLUSION:Being more convenient and less invasive, EVL-PSE is hopeful to be a proper intervention strategy for portal hypertensive patients with impaired hepatic function or those intolerant to shunting or devascularization surgery.Xu RY, Liu B, Lin N. Therapeutic effects of endoscopic variceal ligation combined with partial splenic embolization for portal hypertension.

show abstract

“…In this technique, the endoscope being used for resection has to be withdrawn again and reintroduced, in order for the ligation cylinder to be removed and the loop to be introduced. Ligation devices available include, in addition to single-use devices, a reusable ligator [10], with which comparable results can be achieved at reduced cost.…”

Section: Strip Biopsymentioning

confidence: 99%

Endoscopic resection in neoplastic lesions of the oesophagus

Pech

May

Rabenstein

et al. 2003

Langenbeck's Archives of Surgery

View full text Add to dashboard Cite

show abstract

The First Reusable Multiple-Band Ligator for Endoscopic Hemostasis of Variceal Bleeding, Nonvariceal Bleeding and Mucosal Resection

Cited by 37 publications

References 5 publications

Riesgo de perforación en la mucosectomía esofágica con banda: estudio experimental con dos modelos de ligadores

Riesgo de perforación en la mucosectomía esofágica con banda: estudio experimental con dos modelos de ligadores

Therapeutic effects of endoscopic variceal ligation combined with partial splenic embolization for portal hypertension

Endoscopic resection in neoplastic lesions of the oesophagus

Contact Info

Product

Resources

About