ENDOSCOPIC VARICEAL LIGATION (EVL) USING END-LOOP LIGATURE FOR ESOPHAGOGASTRIC VARICES

Takahiro SATO; Kiyoshi HIGASINO; Yoshio MURASHIMA; Toshihiro SUGA; Toru YAOSAKA; Akimichi IMAMURA; Akira FUJINAGA; Kazumitsu KOITO; Hiroyuki MIYAKAWA; Masahiro TOCHIHARA; Kiyoto NATSUI; Tatsuya NAGAKAWA; Shigeharu KATO; Manabu GOTO

doi:10.11280/gee1973b.35.2656

Takahiro SATO, Kiyoshi HIGASINO, Yoshio MURASHIMA, Toshihiro SUGA, Toru YAOSAKA, Akimichi IMAMURA, Akira FUJINAGA, Kazumitsu KOITO, Hiroyuki MIYAKAWA, Masahiro TOCHIHARA, Kiyoto NATSUI, Tatsuya NAGAKAWA, Shigeharu KATO, Manabu GOTO

Author information

Takahiro SATO
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Kiyoshi HIGASINO
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Yoshio MURASHIMA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Toshihiro SUGA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Toru YAOSAKA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Akimichi IMAMURA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Akira FUJINAGA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Kazumitsu KOITO
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Hiroyuki MIYAKAWA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Masahiro TOCHIHARA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Kiyoto NATSUI
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Tatsuya NAGAKAWA
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Shigeharu KATO
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan
Manabu GOTO
Department of Gastroenterology, Sapporo Kosei Hospital, Sapporo, Japan

JOURNAL FREE ACCESS

1993 Volume 35 Issue 11 Pages 2656-2660_1

DOI https://doi.org/10.11280/gee1973b.35.2656

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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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