Endoscopic Clipping Vs Band Ligation in the Management of Bleeding Esophageal Varices

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dc.contributor.authorYol, S.
dc.contributor.authorBelviranlı, Muaz
dc.contributor.authorToprak, Ş.
dc.contributor.authorKartal, A.
dc.date.accessioned2020-03-26T16:45:43Z
dc.date.available2020-03-26T16:45:43Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: The effectiveness of endoscopic clipping in the hemostasis of bleeding esophageal varices and the eventual variceal eradication was compared with that of band ligation. Methods: Forty patients were enrolled in the study in a prospective manner, 19 of whom received endoscopic clipping (group I) and the remaining (n = 21 patients) received endoscopic band ligation (group II). All patients in this study presented with bleeding from esophageal varices. The patient characteristics (age, sex, Child-Pugh score, variceal grade) were comparable in the two groups. After initial hemostasis, the patients were assigned one of the two forms of endoscopic therapy which was continued in the follow-up sessions until varices were eradicated. Early and late results were compared. Results: Initial hemostasis was achieved in all patients in group I but two patients in group II required clip ligation for initial hemostasis because of the failure in band ligation. Those two were treated with band ligation in the follow-up sessions. A total of 224 clips in 53 treatment sessions and 296 bands in 82 treatment sessions were placed in group I and group II, respectively. The rates of complete variceal eradication were 89% and 76% in group I and group II, respectively (p > 0.05). The median number of required treatment sessions for complete eradication of the varices was significantly lower in group I than group II (3 versus 4, p = 0.013). Three patients from group I (15%) and seven patients from group II (33%) were readmitted for variceal bleeding during the follow-up period (p > 0.05). Conclusions: With the advantages of high initial hemostasis rate, decreased risk of rebleeding, and fewer treatment sessions needed for variceal eradication, endoscopic clipping is as effective as band ligation, or perhaps more effective in the treatment of bleeding esophageal varices.en_US
dc.identifier.citationYol, S., Belviranlı, M., Toprak, Ş., Kartal, A., (2003). Endoscopic Clipping Vs Band Ligation in the Management of Bleeding Esophageal Varices. Surgical Endoscopy and Other Interventional Techniques, 17(1), 38-42. Doi: 10.1007/s00464-002-9033-1
dc.identifier.doi10.1007/s00464-002-9033-1en_US
dc.identifier.endpage42en_US
dc.identifier.issn0930-2794en_US
dc.identifier.issue1en_US
dc.identifier.pmid12364992en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage38en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00464-002-9033-1
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18462
dc.identifier.volume17en_US
dc.identifier.wosWOS:000180798900007en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYol, S.
dc.institutionauthorBelviranlı, Muaz
dc.institutionauthorToprak, Ş.
dc.institutionauthorKartal, A.
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleEndoscopic Clipping Vs Band Ligation in the Management of Bleeding Esophageal Varicesen_US
dc.typeArticleen_US

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