Dislodgement of variceal bands after esophageal balloon tamponade for variceal bleeding

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Dislodgement of variceal bands after esophageal balloon tamponade for variceal bleeding.

A 43-year-old male with alcoholic cirrhosis underwent EGD for hematemesis which revealed bleeding, grade II, lower esophageal varices that were endoscopically ligated with 6 bands. All the bands remained attached to varices at the completion of EGD. Despite apparent initial hemostasis, balloon tamponade was performed one hour later for suspected continued bleeding. Due to suspected continuing b...

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Balloon tamponade in variceal bleeding: use and misuse.

Patients, methods, and results Over two years 30 patients were referred to this unit for the management of variceal bleeding with a balloon in position. Technical factors that we considered important for controlling bleeding were for the gastric balloon to be positioned close to the gastro-oesophageal junction and for it to be adequately inflated (in excess of 100 ml). Factors that we believed ...

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Endoscopic hemostasis in acute esophageal variceal bleeding.

Acute variceal bleeding (AVB) is a milestone event for patients with portal hypertension. Esophageal varices bleed because of an increase in portal pressure that causes the variceal wall to rupture. AVB in a patient with cirrhosis and portal hypertension is associated with significant morbidity and mortality. The initial management of these patients includes proper resuscitation, antibiotic pro...

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Variceal bleeding

Approximately 90% of patients with cirrhosis will have developed gastro-oesophageal varices within 10 yr. Oesophageal variceal haemorrhage is a devastating complication of cirrhosis with mortality as high as 25–50%. Therefore, prophylactic measures before the first bleed are crucial. If patients survive a variceal bleed, there is approximately a 70% risk that they will have a further bleed with...

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Esophageal variceal ligation for hemostasis of acute variceal bleeding: efficacy and safety

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ژورنال

عنوان ژورنال: Annals of Hepatology

سال: 2014

ISSN: 1665-2681

DOI: 10.1016/s1665-2681(19)30988-3