• Pak J Med Sci · Jan 2020

    Evaluation of endoscopic variceal band ligation sessions in obliteration of esophageal varices.

    • Haris Alvi, Bader Faiyaz Zuberi, Tazeen Rasheed, and Muhammad Asad Ibrahim.
    • Haris Alvi, Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
    • Pak J Med Sci. 2020 Jan 1; 36 (2): 37-41.

    ObjectiveTo determine number of sessions of Endoscopic variceal band ligation required to obliterate the esophageal varices.MethodsThis study was conducted at Civil Hospital Karachi between June 2018 to April 2019. All patients undergoing endoscopic Variceal Band Ligation (EVBL) were inducted. Number of sessions of band ligation required to obliterate the varices were recorded. Number of EVBL sessions were correlated with Child-Pugh's Score and etiology of CLD by χ2 test, while it was compared with duration of Chronic Liver Disease (CLD) by One-way ANOVA test.ResultsOne hundred ninety-two patients fulfilling selection criteria were admitted after informed consent. These included 101 (52.6%) males and 91 (47.4%) females. Most common cause of cirrhosis was HCV (66.7%) in our patients. Most of the patients were in Child Class-B (71.9%). Majority of patients (52.6%) underwent 3 sessions of EVBL while 68 (35.4%) underwent 4 sessions of EVBL. Duration of CLD was analyzed with number of sessions of EVBL by One-Way ANOVA test and it showed significant more sessions of EVBL were done with longer duration of CLD (p <0.001).ConclusionMost patients underwent 3-4 sessions of EVBL for obliteration of varices. Number of EVBL sessions increased significantly with duration of disease.Copyright: © Pakistan Journal of Medical Sciences.

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