| Title |
Endoscopic ultrasound predicts early recurrence of esophageal varices after endoscopic band ligation: a prospective cohort study / |
| Another Title |
Ankstyvas stemplės venų varikozės atsinaujinimas po endoskopinio perrišimo yra susijęs su specifiniais endoskopiniu ultragarsiniu tyrimu diagnozuojamais pakitimais: prospektyvusis tyrimas. |
| Authors |
Mašalaitė, Laura ; Valantinas, Jonas ; Stanaitis, Juozas |
| DOI |
10.15388/LietChirur.2014.3897 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2014, t. 13, Nr. 3, p. 161-167.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
endoscopic ultrasound ; variceal recurrence ; endoscopic band ligation |
| Abstract [eng] |
Background Variceal recurrence following endoscopic treatment is very common and associated with the variceal bleeding or rebleeding risk. Esophageal collateral veins are observed by endoscopic ultrasound (EUS) in patients with portal hypertension. The aim of the study was to identify whether EUS findings could predict the early variceal recurrence after endoscopic band ligation (EBL). Patients and methods The prospective cohort study was performed, including consecutive patients, undergoing EBL for esophageal varices. EUS was performed before ligation, and the type and grade of esophageal collateral veins (ECV) were described. After all EBL sessions had been completed, patients were examined every three months for a 12-month period to detect variceal recurrence. Patients in whom varices reoccurred within six months were noted as the early recurrence group. The relationship between the type and grade of ECV and the early variceal recurrence was analysed to detect the possible risk factors. The study was approved by the local ethics committee. Results Forty patients were included in the study over the study period. Twelve of the forty patients (30%) had early variceal recurrence within six months, and nineteen of the forty patients (47.5%) had variceal recurrence within twelve months after EBL. Overall, the mean number of months from the end of EBL until recurrence was 7.26 ± 3.05 (3–12)). Severe peri-ECV were statistically significantly associated with the higher variceal recurrence risk within six months (p = 0.041), whereas severe para-ECV had no statistically significant risk related to the early variceal recurrence risk (p = 0.149). Conclusions A positive association between early variceal recurrence following endoscopic band ligation and specific findings on EUS was demonstrated. Severe-grade peri-ECV predict early variceal recurrence following EBL. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2014 |
| CC license |
|
