Wang Kui,Chen Weiqing,Gao Jian,He Song,Qiu Liewang,He Lu,Wu Suhua,Mei Zhechuan.Effect of endoscopic variceal ligation on gastric varicosity and its bleeding[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(11):1117-1119.
Wang Kui,Chen Weiqing,Gao Jian,He Song,Qiu Liewang,He Lu,Wu Suhua,Mei Zhechuan.Effect of endoscopic variceal ligation on gastric varicosity and its bleeding[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(11):1117-1119.DOI:
Effect of endoscopic variceal ligation on gastric varicosity and its bleeding
Objective To study the effect of endoscopic variceal ligation (EVL) on gastric varicosity(GV)and its bleeding following the treatment of esophageal varicosity (EV). Methods Eighty-two cirrhotic patients with EV
admitted to our department from July 2008 to July 2010 for EVL
were divided into group A (n=60) and group B (n=22) according to whether they had GV before treatment. All patients were followed up for at least 1 year
during which changes in GV were observed by endoscopy after eradication of EV. Results GV was found in group A and no GV was observed in group B. GV disappeared in 22 (48.9%) out of the 45 patients with type 1 primary gastroesophageal varicosity and in 2 (13.3%) out of the 15 patients with type 2 primary gastroesophageal varicosity while GV bleeding occurred in 2 (13.3%) out of the 15 patients with type 2 primary gastroesophageal varicosity in group A. No GV occurred in 18 (81.8%) out of the 22 patients and secondary GV occurred in 4 (18.2%) out of the 22 patients and no secondary GV bleeding occurred in group B. Conclusion The effect of EVL is different on different types of GV following the treatment of EV. GV will disappear in about 50% of patients with type 1 primary gastroesophageal varicosity and not disappear in patients with type 2 primary gastroesophageal varicosity after eradication of EV. The existing GV will increase the risk of bleeding. However,GV will not occur in about 80% of the patients after eradication of EV.