Aziz Muhammad, Floyd Beth, Esfandyari Tuba
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Department of Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, KS, USA.
Am J Case Rep. 2018 May 9;19:545-548. doi: 10.12659/AJCR.908232.
BACKGROUND Esophageal variceal band ligation (EVBL) performed by esophagogastroduodenoscopy (EGD) is a routinely performed procedure for the treatment of esophageal varices that is undertaken to control bleeding and prevent further complications. This report is of a case of a rare complication of complete esophageal obstruction following EVBL. CASE REPORT A 69-year-old woman underwent EVBL for esophageal varices. She subsequently presented with complete obstruction of the esophageal lumen with ulceration, which was seen on repeat EGD. Following conservative management, EGD demonstrated scarring around the ulcerated region and a patent esophagus. CONCLUSIONS This case report serves to remind physicians of the potential complications that may arise with the use of EVBL treatment for bleeding esophageal varices and to consider the use of a loop cutter, to grasp and remove the esophageal band to improve patient recovery.
背景 经食管胃十二指肠镜检查（EGD）进行的食管静脉曲张套扎术（EVBL）是治疗食管静脉曲张的常规操作，旨在控制出血并预防进一步并发症。本报告为1例EVBL术后罕见的完全性食管梗阻并发症病例。病例报告 一名69岁女性因食管静脉曲张接受了EVBL。随后她出现食管腔完全梗阻并伴有溃疡，这在复查EGD时可见。经过保守治疗后，EGD显示溃疡区域周围有瘢痕形成且食管通畅。结论 本病例报告旨在提醒医生，使用EVBL治疗出血性食管静脉曲张可能会出现潜在并发症，并考虑使用环形切割器抓取并移除食管套扎带以促进患者康复。
