Removal of a Trigger Cord Stuck between Bands during Endoscopic Multiple-Band Ligation for Treating Esophageal Variceal Hemorrhage
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Endoscopic variceal ligation is the preferred endoscopic treatment method for esophageal variceal bleeding. The incidence ofcomplications such as chest pain, bleeding, stricture formation, and aspiration pneumonia is low. We report a case wherein amalfunctioning multiple-band ligator could have potentially caused damage to the esophageal varices and massive bleeding. Theequipment was safely removed using scissors and forceps. To the best of our knowledge, this is the first published report detailing themanagement of a case of esophageal variceal bleeding.
Abstract
Endoscopic variceal ligation is the preferred endoscopic treatment method for esophageal variceal bleeding. The incidence ofcomplications such as chest pain, bleeding, stricture formation, and aspiration pneumonia is low. We report a case wherein amalfunctioning multiple-band ligator could have potentially caused damage to the esophageal varices and massive bleeding. Theequipment was safely removed using scissors and forceps. To the best of our knowledge, this is the first published report detailing themanagement of a case of esophageal variceal bleeding.
참고문헌 (3)
- Garcia-Tsao G, "Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis", Hepatology, 46, pp.922~938 (2007)
- Hwang JH, "The role of endoscopy in the management of variceal hemorrhage", Gastrointest Endosc, 80, pp.221~227 (2014)
- Schmitz RJ, "Incidence and management of esophageal stricture formation, ulcer bleeding, perforation, and massive hematoma formation from sclerotherapy versus band ligation", Am J Gastroenterol, 96, pp.437~441 (2001)