A 78-year-old woman with a history of liver cirrhosis related to non-alcoholic steatohepatitis presented to the hospital with abdominal pain and distention. She was diagnosed with abdominal ascites and underwent paracentesis without evidence of infection. Esophagogastroduodenoscopy identified Grade 2 esophageal varices that were treated with band ligature. The patient developed dysphagia and was found to have esophageal necrosis and complete esophageal obstruction related to variceal banding. She was treated with removal of band ligatures and esophageal dilation, resulting in improved symptoms. Esophageal obstruction is a rare but important complication of variceal banding, which may occur within 24 hours of the procedure.
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http://dx.doi.org/10.56305/001c.33679 | DOI Listing |
Minerva Gastroenterol (Torino)
March 2025
Department of Health Sciences, Magna Græcia University of Catanzaro, Catanzaro, Italy -
Liver cirrhosis, marked by fibrosis and nodular regeneration, triggers a cascade of events resulting in portal hypertension (PH) and, subsequently, hepatic decompensation in its final stages. PH, arising from increased intrahepatic vascular resistance, serves as a harbinger of complications such as ascites, variceal bleeding, and hepatic encephalopathy, underscoring its clinical significance. Timely diagnosis of clinically significant portal hypertension (CSPH) is of pivotal importance, prompting the exploration of noninvasive diagnostic tools such as liver stiffness and spleen stiffness measurement.
View Article and Find Full Text PDFJ Clin Exp Hepatol
January 2025
Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, 560090, India.
Portal hypertension can lead to the formation of rectal varices. Rectal varices are a common manifestation of portal hypertension but tend to bleed less frequently than esophageal or gastric varices. It has been observed that rectal varices can result in significant lower gastrointestinal (GI) bleeding and pose unique therapeutic challenges.
View Article and Find Full Text PDFJ Clin Med Res
January 2025
Department of Clinical Sciences, Malmo, Lund University, Malmo, Sweden.
Background: Upper gastrointestinal bleeding (UGIB) is a common and potentially fatal medical emergency. This study aimed to investigate the frequency, causes, outcomes, and efficacy of endoscopy in the treatment of UGIB at King Fahad Central Hospital in Jazan, Saudi Arabia.
Methods: Between January 2017 and December 2023, a retrospective study was performed including all hospitalized patients with UGIB.
Cureus
November 2024
Internal Medicine, University of Kansas Medical Center, Kansas City, USA.
Background Transjugular intrahepatic portosystemic shunt (TIPS) has been shown to reduce the risk of rebleeding among patients with recurrent esophageal variceal bleeding. However, the impact of TIPS on survival remains uncertain. This study took on this challenge to determine if TIPS has any impact on all-cause inpatient mortality during the hospitalization in which it is performed and if it impacts all-cause 30-day readmission rates when compared to patients who only undergo esophageal variceal banding (EVB) for recurrent esophageal variceal bleeding.
View Article and Find Full Text PDFLiver Int
April 2025
Department of Gastroenterology & Hepatology, Changi General Hospital, Singapore, Singapore.
Introduction: The safety of continuing anticoagulation therapy during endoscopic variceal ligation (EVL) remains controversial. We performed a systematic review and meta-analysis to evaluate the safety of anticoagulation therapy in EVL.
Methods: We systematically searched four electronic databases from their inception until 1 June 2024, for studies that evaluated anticoagulation use and risk of rebleeding among patients undergoing EVL.
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