Data from Yuli Pramana - Curated by EPG Health - Last updated 07 April 2017

Background.

Endoscopic Sclerotherapy (ES) and Endoscopic Ligation (EL) were accepted in the treatment of esophageal varices bleeding in patients with liver cirrhosis. EL seemed to be superior to ES. If EL was difficult then ES should be performed.

Cases report & Discussion.  

Case 1. A man gets serial variceal ligation. At the last endoscopic evaluation, there was esophageal varices lining between cicatrix. It is difficult to perform ligation, so sclerotherapy must be chosen. 

Case 2. A woman with liver cirrhosis and the shape of the varix is wide and looks like a fan, sclerotherapy was performed.

Case 3. A man with liver cirrhosis and has esophageal varices continues to the gastroesophageal varices, it’s better to use sclerotherapy.

Besides variceal size and tension of the variceal wall, the type of esophageal varix is important. If the varix runs straight/looks like a pipe, it’s better to perform ligation.

Conclusion.

Sclerotherapy endoscopy better than ligation at the condition: Ligation was difficult such as the varix lining between cicatrix, the shape of varix is wide and looks like a fan and if esophageal varix continues to be gastroesophageal varix.

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