Endoscopic variceal ligation using multiband ligator

Esophageal variceal bleed in children is treated with endoscopic sclerotherapy (EST), which is associated with significant complications. Endoscopic variceal ligation (EVL) was found to be more effective and safe in adults. Use of EVL in children has not been studied much. Thirteen consecutive child...

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Bibliographic Details
Published in:Indian pediatrics 2005-02, Vol.42 (2), p.131-134
Main Authors: Pokharna, R K, Kumar, Sunil, Khatri, P C, Chahar, C K
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Endoscopy
Esophageal and Gastric Varices - surgery
Female
Humans
Ligation - instrumentation
Male
Treatment Outcome
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Summary:Esophageal variceal bleed in children is treated with endoscopic sclerotherapy (EST), which is associated with significant complications. Endoscopic variceal ligation (EVL) was found to be more effective and safe in adults. Use of EVL in children has not been studied much. Thirteen consecutive children (mean age 9.4 years) with variceal bleed were subjected to EVL by multi band ligator. Varices were eradicated in 2.8 sessions (range 2-4) and one patient had bleed during procedure. No other complications were noted. EVL could not be performed in 2 children less than 3 years of age.
ISSN:0019-6061
0974-7559