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Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band

Esophageal varices due to portal hypertension are treated with endoscopic variceal band ligation (EVBL), a minimally invasive procedure with potential complications, such as pain, bleeding, and stricture formation. Rarely, complete esophageal obstruction can occur secondary to edema of the mucosa. M...

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Autores principales: Gandhi, Mustafa, Chela, Harleen Kaur, Daglilar, Ebubekir, Hammoud, Ghassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335816/
https://www.ncbi.nlm.nih.gov/pubmed/37441621
http://dx.doi.org/10.14309/crj.0000000000001093
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author Gandhi, Mustafa
Chela, Harleen Kaur
Daglilar, Ebubekir
Hammoud, Ghassan
author_facet Gandhi, Mustafa
Chela, Harleen Kaur
Daglilar, Ebubekir
Hammoud, Ghassan
author_sort Gandhi, Mustafa
collection PubMed
description Esophageal varices due to portal hypertension are treated with endoscopic variceal band ligation (EVBL), a minimally invasive procedure with potential complications, such as pain, bleeding, and stricture formation. Rarely, complete esophageal obstruction can occur secondary to edema of the mucosa. Most cases can be managed conservatively, but intervention is necessary for severe symptoms with a risk for aspiration and airway compromise. Since EVBL is such a common procedure, it is important for clinicians to be aware of this rare but severe complication. An 80-year-old woman presented with severe dysphagia and chest discomfort after a recent EVBL. Esophagogastroduodenoscopy revealed esophageal mucosal edema and complete obstruction of the esophageal lumen. The band was removed with a loop cutter with subsequent balloon dilation to relieve the obstruction.
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spelling pubmed-103358162023-07-12 Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band Gandhi, Mustafa Chela, Harleen Kaur Daglilar, Ebubekir Hammoud, Ghassan ACG Case Rep J Case Report Esophageal varices due to portal hypertension are treated with endoscopic variceal band ligation (EVBL), a minimally invasive procedure with potential complications, such as pain, bleeding, and stricture formation. Rarely, complete esophageal obstruction can occur secondary to edema of the mucosa. Most cases can be managed conservatively, but intervention is necessary for severe symptoms with a risk for aspiration and airway compromise. Since EVBL is such a common procedure, it is important for clinicians to be aware of this rare but severe complication. An 80-year-old woman presented with severe dysphagia and chest discomfort after a recent EVBL. Esophagogastroduodenoscopy revealed esophageal mucosal edema and complete obstruction of the esophageal lumen. The band was removed with a loop cutter with subsequent balloon dilation to relieve the obstruction. Wolters Kluwer 2023-07-10 /pmc/articles/PMC10335816/ /pubmed/37441621 http://dx.doi.org/10.14309/crj.0000000000001093 Text en © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Gandhi, Mustafa
Chela, Harleen Kaur
Daglilar, Ebubekir
Hammoud, Ghassan
Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band
title Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band
title_full Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band
title_fullStr Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band
title_full_unstemmed Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band
title_short Mushroom Sign: Complete Esophageal Obstruction After Esophageal Variceal Band Ligation With Successful Removal of Variceal Band
title_sort mushroom sign: complete esophageal obstruction after esophageal variceal band ligation with successful removal of variceal band
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335816/
https://www.ncbi.nlm.nih.gov/pubmed/37441621
http://dx.doi.org/10.14309/crj.0000000000001093
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