Endoscopic Treatment of Esophageal Varices: Eradicative Endoscopic Variceal Ligation

  • Shigeru NakanoEmail author
  • Yoshinori Igarashi


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.


eEVL Esophageal varices Repeated EVL 


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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology and Hepatology, Department of Internal MedicineToho University, Omori Medical CenterTokyoJapan

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