Gupta Simran, Zhou Emily, Ferreira Jason, Finn Arkadiy
Department of Medicine Warren Alpert Medical School at Brown University.
Division of Gastroenterology, Department of Medicine Warren Alpert Medical School at Brown University.
Brown J Hosp Med. 2022 Apr 1;1(1):33679. doi: 10.56305/001c.33679. eCollection 2022.
A 78-year-old woman with a history of liver cirrhosis related to non-alcoholic steatohepatitis presented to the hospital with abdominal pain and distention. She was diagnosed with abdominal ascites and underwent paracentesis without evidence of infection. Esophagogastroduodenoscopy identified Grade 2 esophageal varices that were treated with band ligature. The patient developed dysphagia and was found to have esophageal necrosis and complete esophageal obstruction related to variceal banding. She was treated with removal of band ligatures and esophageal dilation, resulting in improved symptoms. Esophageal obstruction is a rare but important complication of variceal banding, which may occur within 24 hours of the procedure.
一名78岁女性，有非酒精性脂肪性肝炎相关肝硬化病史，因腹痛和腹胀入院。她被诊断为腹腔积液并接受了腹腔穿刺术，未发现感染迹象。食管胃十二指肠镜检查发现2级食管静脉曲张，采用套扎治疗。患者出现吞咽困难，发现与静脉曲张套扎相关的食管坏死和完全性食管梗阻。她接受了套扎移除和食管扩张治疗，症状得到改善。食管梗阻是静脉曲张套扎术罕见但重要的并发症，可能在术后24小时内发生。
