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Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation

Background and Aims. Cardiac varices (CVs) in patients with type 1 gastroesophageal varices (GOV1s) usually disappear with treatment for esophageal varices (EVs) by endoscopic injection sclerotherapy (EIS). However, whether this applies to patients treated with endoscopic band ligation (EBL) for EVs...

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Autores principales: Park, Seung Woon, Seo, Yeon Seok, Lee, Han Ah, Park, Sang Jung, Kim, Tae Hyung, Lee, Jae Min, Suh, Sang Jun, Choi, Hyuk Soon, Kim, Eun Sun, Keum, Bora, Jung, Young Kul, Kim, Ji Hoon, An, Hyonggin, Yim, Hyung Joon, Jeen, Yoon Tae, Yeon, Jong Eun, Lee, Hong Sik, Chun, Hoon Jai, Byun, Kwan Soo, Um, Soon Ho, Kim, Chang Duck
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5220445/
https://www.ncbi.nlm.nih.gov/pubmed/28116285
http://dx.doi.org/10.1155/2016/2198163
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author Park, Seung Woon
Seo, Yeon Seok
Lee, Han Ah
Park, Sang Jung
Kim, Tae Hyung
Lee, Jae Min
Suh, Sang Jun
Choi, Hyuk Soon
Kim, Eun Sun
Keum, Bora
Jung, Young Kul
Kim, Ji Hoon
An, Hyonggin
Yim, Hyung Joon
Jeen, Yoon Tae
Yeon, Jong Eun
Lee, Hong Sik
Chun, Hoon Jai
Byun, Kwan Soo
Um, Soon Ho
Kim, Chang Duck
author_facet Park, Seung Woon
Seo, Yeon Seok
Lee, Han Ah
Park, Sang Jung
Kim, Tae Hyung
Lee, Jae Min
Suh, Sang Jun
Choi, Hyuk Soon
Kim, Eun Sun
Keum, Bora
Jung, Young Kul
Kim, Ji Hoon
An, Hyonggin
Yim, Hyung Joon
Jeen, Yoon Tae
Yeon, Jong Eun
Lee, Hong Sik
Chun, Hoon Jai
Byun, Kwan Soo
Um, Soon Ho
Kim, Chang Duck
author_sort Park, Seung Woon
collection PubMed
description Background and Aims. Cardiac varices (CVs) in patients with type 1 gastroesophageal varices (GOV1s) usually disappear with treatment for esophageal varices (EVs) by endoscopic injection sclerotherapy (EIS). However, whether this applies to patients treated with endoscopic band ligation (EBL) for EVs remains unclear. We evaluated the effect of EVs eradication by EBL on CVs. Methods. We included cirrhotic patients whose EVs had been eradicated using EBL and excluded those who had been treated using EIS, those who had received endoscopic therapy for CVs, and those who were combined with hepatocellular carcinoma. Results. A total of 123 patients were enrolled. The age was 59.7 ± 11.7 years, and 96 patients (78.0%) were men. Thirty-eight patients (30.9%) had EVs only, while 85 (69.1%) had GOV1s. After EVs eradication, the CVs disappeared in 55 patients (64.7%). EVs recurred in 40 patients, with recurrence rates at 1, 2, and 3 years of 16.0%, 29.6%, and 35.6%, respectively, the recurrence being more frequent in patients who had undergone EBL for secondary prophylaxis and in those with persisting CVs after EVs eradication (P = 0.003). Conclusions. CVs frequently disappeared when EVs were eradicated using EBL in patients with GOV1s. Persistence of CVs after EVs eradication by EBL was associated with EVs recurrence.
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spelling pubmed-52204452017-01-23 Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation Park, Seung Woon Seo, Yeon Seok Lee, Han Ah Park, Sang Jung Kim, Tae Hyung Lee, Jae Min Suh, Sang Jun Choi, Hyuk Soon Kim, Eun Sun Keum, Bora Jung, Young Kul Kim, Ji Hoon An, Hyonggin Yim, Hyung Joon Jeen, Yoon Tae Yeon, Jong Eun Lee, Hong Sik Chun, Hoon Jai Byun, Kwan Soo Um, Soon Ho Kim, Chang Duck Can J Gastroenterol Hepatol Research Article Background and Aims. Cardiac varices (CVs) in patients with type 1 gastroesophageal varices (GOV1s) usually disappear with treatment for esophageal varices (EVs) by endoscopic injection sclerotherapy (EIS). However, whether this applies to patients treated with endoscopic band ligation (EBL) for EVs remains unclear. We evaluated the effect of EVs eradication by EBL on CVs. Methods. We included cirrhotic patients whose EVs had been eradicated using EBL and excluded those who had been treated using EIS, those who had received endoscopic therapy for CVs, and those who were combined with hepatocellular carcinoma. Results. A total of 123 patients were enrolled. The age was 59.7 ± 11.7 years, and 96 patients (78.0%) were men. Thirty-eight patients (30.9%) had EVs only, while 85 (69.1%) had GOV1s. After EVs eradication, the CVs disappeared in 55 patients (64.7%). EVs recurred in 40 patients, with recurrence rates at 1, 2, and 3 years of 16.0%, 29.6%, and 35.6%, respectively, the recurrence being more frequent in patients who had undergone EBL for secondary prophylaxis and in those with persisting CVs after EVs eradication (P = 0.003). Conclusions. CVs frequently disappeared when EVs were eradicated using EBL in patients with GOV1s. Persistence of CVs after EVs eradication by EBL was associated with EVs recurrence. Hindawi Publishing Corporation 2016 2016-12-26 /pmc/articles/PMC5220445/ /pubmed/28116285 http://dx.doi.org/10.1155/2016/2198163 Text en Copyright © 2016 Seung Woon Park et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Park, Seung Woon
Seo, Yeon Seok
Lee, Han Ah
Park, Sang Jung
Kim, Tae Hyung
Lee, Jae Min
Suh, Sang Jun
Choi, Hyuk Soon
Kim, Eun Sun
Keum, Bora
Jung, Young Kul
Kim, Ji Hoon
An, Hyonggin
Yim, Hyung Joon
Jeen, Yoon Tae
Yeon, Jong Eun
Lee, Hong Sik
Chun, Hoon Jai
Byun, Kwan Soo
Um, Soon Ho
Kim, Chang Duck
Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation
title Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation
title_full Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation
title_fullStr Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation
title_full_unstemmed Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation
title_short Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation
title_sort changes in cardiac varices and their clinical significance after eradication of esophageal varices by band ligation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5220445/
https://www.ncbi.nlm.nih.gov/pubmed/28116285
http://dx.doi.org/10.1155/2016/2198163
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