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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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/2198163 |
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| author | Seung Woon Park Yeon Seok Seo Han Ah Lee Sang Jung Park Tae Hyung Kim Jae Min Lee Sang Jun Suh Hyuk Soon Choi Eun Sun Kim Bora Keum Young Kul Jung Ji Hoon Kim Hyonggin An Hyung Joon Yim Yoon Tae Jeen Jong Eun Yeon Hong Sik Lee Hoon Jai Chun Kwan Soo Byun Soon Ho Um Chang Duck Kim |
| author_facet | Seung Woon Park Yeon Seok Seo Han Ah Lee Sang Jung Park Tae Hyung Kim Jae Min Lee Sang Jun Suh Hyuk Soon Choi Eun Sun Kim Bora Keum Young Kul Jung Ji Hoon Kim Hyonggin An Hyung Joon Yim Yoon Tae Jeen Jong Eun Yeon Hong Sik Lee Hoon Jai Chun Kwan Soo Byun Soon Ho Um Chang Duck Kim |
| author_sort | Seung Woon Park |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-082e16a5e89a40f98aa984914c2d61c1 |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-082e16a5e89a40f98aa984914c2d61c12025-02-03T05:46:21ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/21981632198163Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band LigationSeung Woon Park0Yeon Seok Seo1Han Ah Lee2Sang Jung Park3Tae Hyung Kim4Jae Min Lee5Sang Jun Suh6Hyuk Soon Choi7Eun Sun Kim8Bora Keum9Young Kul Jung10Ji Hoon Kim11Hyonggin An12Hyung Joon Yim13Yoon Tae Jeen14Jong Eun Yeon15Hong Sik Lee16Hoon Jai Chun17Kwan Soo Byun18Soon Ho Um19Chang Duck Kim20Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaBackground 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.http://dx.doi.org/10.1155/2016/2198163 |
| spellingShingle | Seung Woon Park Yeon Seok Seo Han Ah Lee Sang Jung Park Tae Hyung Kim Jae Min Lee Sang Jun Suh Hyuk Soon Choi Eun Sun Kim Bora Keum Young Kul Jung Ji Hoon Kim Hyonggin An Hyung Joon Yim Yoon Tae Jeen Jong Eun Yeon Hong Sik Lee Hoon Jai Chun Kwan Soo Byun Soon Ho Um Chang Duck Kim Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation Canadian Journal of Gastroenterology and Hepatology |
| 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 |
| url | http://dx.doi.org/10.1155/2016/2198163 |
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