GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
ENDOSCOPIC VARICEAL LIGATION (EVL) USING END-LOOP LIGATURE FOR ESOPHAGOGASTRIC VARICES
Takahiro SATOKiyoshi HIGASINOYoshio MURASHIMAToshihiro SUGAToru YAOSAKAAkimichi IMAMURAAkira FUJINAGAKazumitsu KOITOHiroyuki MIYAKAWAMasahiro TOCHIHARAKiyoto NATSUITatsuya NAGAKAWAShigeharu KATOManabu GOTO
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1993 Volume 35 Issue 11 Pages 2656-2660_1

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Abstract

We tried endoscopic variceal ligation (EVL) by means of three-forked forceps and end-loop ligature. EVL technique is shown. First, we inserted three-forked forceps and end-loop ligature through 2 channel f iberscope. The varices was pulled to end-loop ligature by three-forked forceps, and was ligated. After the end-loop was closed and varices was ligated, the ligature was cut off with scissors forceps. We tried EVL for 10 esophageal varices, 6 gastric varices. As a result, esophageal and gastric varices were improved with healing of ulcer after EVL. A little amount of the sclerosant was necessary for complete elimination of esophagogastric varices. This method can decrease the side effect in the cause of the sclerosant. Further, it can ligate for huge gastric varices. We could conclude that this new method was useful modality for esophagogastric varices.

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© Japan Gastroenterological Endoscopy Society
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