食管静脉曲张套扎术对痔疮、肛门直肠静脉曲张和门静脉高压性结肠病的影响。

Effect of esophageal variceal band ligation on hemorrhoids, anorectal varices, and portal hypertensive colopathy.

作者信息

Misra S P, Misra V, Dwivedi M

机构信息

Department of Gastroenterology, MLN Medical College, Allahabad, India.

出版信息

Endoscopy. 2002 Mar;34(3):195-8. doi: 10.1055/s-2002-20290.

DOI:10.1055/s-2002-20290

PMID:11870568

Abstract

BACKGROUND AND STUDY AIMS

Although it is known that obliteration of esophageal varices following endoscopic variceal band ligation results in an increase in the incidence of portal hypertensive gastropathy, the effect of variceal ligation on hemorrhoids, anorectal/colonic varices and portal hypertensive colopathy is not known. The aim of this study was to investigate the effect of endoscopic variceal band ligation on hemorrhoids, anorectal/colonic varices and portal hypertensive colopathy.

PATIENTS AND METHODS

A total of 60 consecutive patients with cirrhosis of the liver and portal hypertension were prospectively studied. Upper gastrointestinal endoscopy and full-length colonoscopy were carried out before the patients underwent endoscopic variceal band ligation for esophageal varices and after obliteration of the varices following band ligation.

RESULTS

Obliteration of esophageal varices by endoscopic variceal band ligation did not affect the incidence of hemorrhoids (37 % before and after), anorectal varices (40 % before and after), and portal hypertensive colopathy (57 % before and after).

CONCLUSIONS

It is concluded that esophageal variceal band ligation does not affect the incidence of hemorrhoids, anorectal varices or portal hypertensive colopathy in patients with cirrhosis of the liver.

摘要