Incidence and risk factors of dysphagia after variceal band ligation

  title={Incidence and risk factors of dysphagia after variceal band ligation},
  author={Saraswathi Arasu and Hammad Bin Liaquat and Jaspreet Suri and Adam C. Ehrlich and Frank K Friedenberg},
  journal={Clinical and Molecular Hepatology},
  pages={374 - 380}
Background/Aims There is a lack of data on long-term morbidity, particularly dysphagia, following endoscopic variceal band ligation (EVL). The aim of this study are to assess the incidence of dysphagia and variables associated with this complication after EVL. Methods We identified individuals who completed at least one session of EVL as their sole treatment for varices from August 2012 to December 2017. Included patients achieved “complete eradication” of varices not requiring further therapy… Expand
2 Citations
ABSTRACT... Objectives: To determine the frequency of complications after esophageal variceal band ligation in patients of decompensated chronic liver disease. Study Design: Descriptive Case studyExpand
Acute-on-chronic liver failure as a major predictive factor for mortality in patients with variceal bleeding
The CLIF-SOFA model well predicted the 28-day or 90-day mortality for cirrhotic patients who experienced variceal bleeding, and the prognosis was poor when accompanied by ACLF. Expand


Endoscopic esophageal varix ligation: preliminary clinical experience.
Preliminary data indicate that EVL is a safe and effective treatment for esophageal varices, and endoscopic observation suggested that varices were obliterated by a process of mechanical strangulation, ischemia, superficial ulceration, and scar formation. Expand
Effects of endoscopic variceal treatment on oesophageal function: a prospective, randomized study
The data define the advantages of ligation over sclerotherapy with respect to post-treatment oesophageal dysmotility and associated gastro-oesophageaal reflux. Expand
Sequelae after esophageal variceal ligation and sclerotherapy: a prospective randomized study.
A prospective, randomized comparison of sclerotherapy with ligation was conducted to study the relative short-term risks of these two procedures with respect to bacteremia, pulmonary and coagulation function, esophageal motility, and gastroesophageAL reflux. Expand
Oesophageal stricture and dysphagia after endoscopic sclerotherapy for bleeding varices.
The patients developing strictures had received significantly more treatments and greater amount of sclerosant, and they had significantly more preceding mucosal necroses, and the incidence of recurrent haemorrhage was the same in the patients who had not developed stricture. Expand
Pantoprazole reduces the size of postbanding ulcers after variceal band ligation: A randomized, controlled trial
Subjects receiving pantoprazole after elective EVL had significantly smaller postbanding ulcers on follow‐up endoscopy than subjects receiving placebo, however, the total ulcer number and patient symptoms were not different between the groups. Expand
Endoscopic variceal ligation in patients who have failed endoscopic sclerotherapy.
Results indicate that endoscopic variceal ligation may be used with success in patients who fail sclerotherapy, and Hemostasis was achieved in all 10 patients who were bleeding at the time of initial endoscopy and again in those who subsequently re-bled. Expand
Endoscopic sclerotherapy versus endoscopic variceal ligation: esophageal symptoms, complications, and motility.
It is concluded that early in the course of sclerotherapy, stricture formation is common, but any long-lasting adverse effect on esophageal function is minimal, and variceal ligation therapy causes less esophagal dysfunction and has fewer local complications. Expand
Esophageal function after sclerotherapy of bleeding varices.
The findings indicate that sclerotherapy of esophageal varices may lead to a reduced peristaltic esphageal motility with an impaired transport function, which could contribute to the development of dysphagia or esophagitis. Expand
Esophageal motility abnormalities in cirrhotic patients before and after endoscopic variceal treatment.
A short course of anti-reflux treatment after each therapeutic session is justified, as well as long-term treatment for patients with stricture, and the choice of treatment for esophageal motility abnormalities is less clear and requires future studies. Expand
Current endoscopic therapy of variceal bleeding.
Endoscopic ligation reduces the risk of first bleeding without affecting mortality, and should be used in patients with contraindications or intolerance to beta-blockers, and the combination of beta- blockers and nitrates may be used. Expand