BACKGROUND: Bleeding from gastric varices larger than 2 cm in diameter represents a major limitation for endoscopic hemostasis. METHODS: Endoscopic ligation of gastric varices was performed with detachable snares and elastic bands in 41 @entity1 who had recent @entity548 from gastric varices larger than 2 cm in diameter. Gastric varices larger than 2 cm were ligated with detachable snares, and then adjacent small gastric varices were ligated with elastic bands. RESULTS: Among the 41 @entity1 , 10 of 12 @entity1 with active @entity548 and 28 of 29 @entity1 with red color signs at initial endoscopy were successfully treated by endoscopic ligation by using detachable snares and elastic bands. Bleeding recurred early (before variceal eradication) in 4 of 38 @entity1 (10.5%). The overall hemostatic rate for endoscopic ligation was 82.9% (34/41). In 33 of 36 @entity1 (91.7%) who underwent repeated ligation treatments, variceal eradication was nearly complete. Mean follow-up in 30 of 33 @entity1 after eradication of varices was 16.4 months (3-32 months), and 29 of 30 did not have recurrent @entity548 . During and after ligation there were no serious complications. CONCLUSIONS: Endoscopic ligation therapy with large detachable snares and elastic bands is safe and effective for treatment of large @entity548 gastric varices.

Use of detachable snares and elastic bands for endoscopic control of XXXX from large gastric varices.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding']
@entity548 :: (MESH:D006470,Disease) :: ['bleeding']
