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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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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. |
format | Online Article Text |
id | pubmed-5220445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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