Endoscopic Treatment of Esophageal Varices: Eradicative Endoscopic Variceal Ligation
Eradicative endoscopic variceal ligation (eEVL) is a simple and safe procedure for eradication of esophageal varices via repeated EVL. Controlling the influx of blood into the lower esophagus via multiple ligations decreases the rate of recurrence. Over the past 20 years, the average frequency of variceal recurrence after eEVL was satisfactory with 1- and 3-year nonrecurrence rates of 90.8% and 73.6%, respectively. The univariate analysis indicated that the red color sign remaining at the end of the second session of EVL, male sex, and Child-Pugh class C were factors associated with recurrence.
KeywordseEVL Esophageal varices Repeated EVL
- 2.Kondo E, Ishihara M, Koyama H, et al. Adapting endoscopic variceal ligation using numeraus o-rings for esophageal varices. [in Japanese]. Gastroenterol Endosc. 1995;37:2812–21.Google Scholar
- 4.Matsuzaki H, Kondou E, Kurita T, et al. Comparison of percutaneous transhepatic portograms obtained before and after eradicative endoscopic variceal ligation of esophageal varices. Gastroenterol Endosc. 1997;39:643–9. (in Japanese with English abstract).Google Scholar
- 5.The Japan Society for Portal Hypertension, editor. The general rules for study of portal hypertension. 2nd ed. Tokyo: Kanehara Co.; 2004. p. 37–50.Google Scholar