Comparative Study for Predictability of Type 1 Gastric Variceal Rebleeding After Endoscopic Variceal Ligation: High-frequency Intraluminal Ultrasound Study

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2022 Jan 10

PMID 35004988

Authors

Jeong Hwan Kim

Won Hyeok Choe

Sun-Young Lee

So Young Kwon

In-Kyung Sung

Hyung Seok Park

Affiliations

Soon will be listed here.

Abstract

Background: The efficacy of endoscopic ultrasonography for the follow-up of gastric varices treated with endoscopic variceal ligation (EVL) has not been established.

Aim: To evaluate the diagnostic correlation of esophagogastroduodenoscopy (EGD) and high-frequency intraluminal ultrasound (HFIUS) for type 1 gastric varices (GOV1) after EVL and to identify the predictability for rebleeding of EGD and HFIUS.

Methods: In liver cirrhosis patients with GOV1, we performed endoscopic follow-up using EGD and HFIUS synchronously after EVL for hemorrhage from GOV1. Endoscopic grading and red color signs were analyzed using EGD, and the largest variceal cross-sectional areas were measured using HFIUS. In addition, 1-year follow-up was performed. Variceal rebleeding was defined as the presence of hematemesis, hematochezia, or melena without other evidence of bleeding on endoscopic follow-up.

Results: In 26 patients with GOV1, variceal cross-sectional areas on HFIUS of GOV1 was poorly correlated with EGD grading of GOV1 ( = 0.36). In 17 patients who completed the 1-year follow-up, variceal cross-sectional areas on HFIUS was a good predictor of subsequent rebleeding, whereas EGD grading was not a predictor of subsequent rebleeding.

Conclusion: HFIUS measurement is more predictive of GOV1 rebleeding than EGD grading, so HFIUS measurement may be necessary for endoscopic follow-up after EVL in patients with GOV1.

Citing Articles

Endoscopic band ligation or endoscopic tissue adhesive injection in the treatment of gastric varices: Which is better?.

Yi L, Zhao S World J Gastroenterol. 2024; 30(21):2827-2828.

PMID: 38899333 PMC: 11185297. DOI: 10.3748/wjg.v30.i21.2827.

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