Endoscopic ligation of gastric varices using a detachable snare.

A new technique of endoscopic treatment for gastric varices is presented here, which was applied in 10 patients, either electively (n = 9) or as emergency therapy for bleeding (n = 9) or as emergency therapy for bleeding (n = 1). A detachable snare is placed endoscopically, tightened around the varix, and then detached using a similar principle to that of band ligation. Following one or two treatment sessions (one snare applied in seven cases, two snares applied in three cases), eradication of gastric varices was observed in all patients. No significant complications were encountered, and nine of 13 snares passed spontaneously, the remaining ones being removed when found during follow-up endoscopy. Short-term follow-up (4-12 months, mean: 7.2 months) did not show either reappearance of varices or rebleeding in any of the patients. Angiography and endoscopic ultrasonography performed in four patients before and after treatment showed regression or disappearance of intramural vessels. Further studies will show the relative value of this new technique compared to other treatment modalities such as banding or cyanoacrylate injection.
AuthorsT Yoshida, N Hayashi, N Suzumi, S Miyazaki, S Terai, T Itoh, S Nishimura, T Noguchi, K Hino, M Yasunaga
JournalEndoscopy (Endoscopy) Vol. 26 Issue 5 Pg. 502-5 (Jun 1994) ISSN: 0013-726X [Print] GERMANY
PMID7956964 (Publication Type: Journal Article)
  • Aged
  • Esophageal and Gastric Varices (complications, therapy)
  • Female
  • Gastrointestinal Hemorrhage (etiology, therapy)
  • Gastroscopes
  • Gastroscopy
  • Humans
  • Ligation (instrumentation)
  • Male
  • Middle Aged
  • Recurrence

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research network!

Choose Username:
Verify Password: