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Band Ligation Can Be Used to Treat Barrett’s Esophagus and Concurrent Esophageal Varices: A Case Series

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Abstract

Background

Patients with Barrett’s esophagus (BE) and esophageal varices present a unique management dilemma. Endoscopic ablation and endoscopic resection are not suitable treatment options due to bleeding risk. Data are limited on successful eradication of BE and esophageal varices utilizing band ligation.

Aims

To assess the outcomes of patients with BE and esophageal varices treated with banding.

Methods

Retrospective analysis of patients with BE and esophageal varices who were treated with band ligation.

Results

A total of eight patients were included in the case series. In all eight cases, BE and esophageal varices were successfully treated with band ligation alone. There were no bleeding, perforation or infectious complications in any patients undergoing banding for treatment of BE. Four patients had biopsy-proven dysplasia prior to treatment with band ligation. After band ligation, the 2 of 4 dysplastic cases that had repeat biopsies showed histologic resolution of the dysplasia. All patients who received banding for BE were followed at least yearly except for one patient lost to follow up. No interval esophageal cancers were reported in any patients with BE that were banded.

Conclusions

Band ligation was used to treat BE pathology in eight patients with esophageal varices. Treatment of dysplasia through this method yielded negative biopsies both for dysplasia and BE on repeat endoscopy. This case series highlights the value of utilizing band ligation to address the management dilemma of BE in the context of esophageal varices.

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Data availability

This research study was conducted retrospectively from data obtained for clinical purposes.

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Funding

No funding of financial support was received.

Author information

Authors and Affiliations

  1. Wayne State University School of Medicine, 540 E Canfield St, Detroit, MI, 48201, USA

    Colin Hartgerink

  2. Department of Gastroenterology, Henry Ford Health System, 2799 W Grand Blvd, Detroit, MI, 48202, USA

    Faisal M. Nimri, Tobias Zuchelli, Syed-Mohammed Jafri & Cyrus Piraka

Authors
  1. Colin Hartgerink
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  2. Faisal M. Nimri
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  3. Tobias Zuchelli
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  4. Syed-Mohammed Jafri
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  5. Cyrus Piraka
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Contributions

All authors contributed to the study conception and design. Data collection and analysis were performed by all authors. The first draft of the manuscript was written by CH and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Colin Hartgerink.

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Conflict of interest

There are no financial arrangements or conflicts of interest to disclose.

Ethical approval

We consulted extensively with the IRB of Henry Ford Health System who determined that our study did not need ethical approval. An IRB official waiver of ethical approval was granted from the IRB of Henry Ford Health System.

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Hartgerink, C., Nimri, F.M., Zuchelli, T. et al. Band Ligation Can Be Used to Treat Barrett’s Esophagus and Concurrent Esophageal Varices: A Case Series. Dig Dis Sci 68, 1381–1385 (2023). https://doi.org/10.1007/s10620-022-07696-1

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  • DOI: https://doi.org/10.1007/s10620-022-07696-1

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