Endoscopic variceal ligation safety throughout the GI tract
2005; Elsevier BV; Volume: 62; Issue: 2 Linguagem: Inglês
10.1016/j.gie.2005.04.012
ISSN1097-6779
Autores Tópico(s)Gastric Cancer Management and Outcomes
ResumoIn this issue of Gastrointestinal Endoscopy, Barker et al 1 Barker K.B. Arnold H.L. Fillman E.P. Palekar N.A. Gering S.A. Parker A.L. Safety of band ligator use in the small bowel and the colon. Gastrointest Endosc. 2005; 62: 224-227 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar present some thought-provoking information on the anatomic consequences of applying band ligation (EBL) to the mucosa of the ileum and the colon. They applied multiple bands to the ileal, the right colon, and the left colon mucosa from patients with colectomy by using 200 mm Hg of suction in two ex vivo specimens that were tightly occluded at either end. Specimens then were visually inspected and histologically examined. Based on their findings, they concluded that EBL is “not safe in the small bowel and the right colon.” Though they have demonstrated the potential for encompassing deep tissue (muscularis propria and serosa) in the ligated tissue, the translation of this to the clinical setting is not as readily apparent as they would suggest. Safety of band ligator use in the small bowel and the colonGastrointestinal EndoscopyVol. 62Issue 2PreviewEndoscopic band ligation for bleeding small-bowel vascular lesions has been reported as safe and efficacious based on small case series. There have been several other published case reports of band ligators used for bleeding lesions, usually Dieulafoy's lesions, in the stomach, the proximal small bowel, and the colon. In addition, this method has been used for postpolypectomy bleeding stalks. There has never been a critical look at the anatomic consequences of banding in the thinner sections of bowel. Full-Text PDF
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