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Cited 6 time in webofscience Cited 5 time in scopus
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Changes in Cardiac Varices and Their Clinical Significance after Eradication of Esophageal Varices by Band Ligation

Authors
Park, Seung WoonSeo, Yeon SeokLee, Han AhPark, Sang JungKim, Tae HyungLee, Jae MinSuh, Sang JunChoi, Hyuk SoonKim, Eun SunKeum, BoraJung, Young KulKim, Ji HoonAn, HyongginYim, Hyung JoonJeen, Yoon TaeYeon, Jong EunLee, Hong SikChun, Hoon JaiByun, Kwan SooUm, Soon HoKim, Chang Duck
Issue Date
Dec-2016
Publisher
Pulsus Group Inc.
Citation
Canadian Journal of Gastroenterology and Hepatology, v.2016
Indexed
SCIE
SCOPUS
Journal Title
Canadian Journal of Gastroenterology and Hepatology
Volume
2016
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/7158
DOI
10.1155/2016/2198163
ISSN
2291-2789
2291-2797
Abstract
Background and Aims. Cardiac varices (CVs) in patients with type 1 gastroesophageal varices (GOV1s) usually disappear with treatment for esophageal varices (EVs) by endoscopic injection sclerotherapy (EIS). However, whether this applies to patients treated with endoscopic band ligation (EBL) for EVs remains unclear. We evaluated the effect of EVs eradication by EBL on CVs. Methods. We included cirrhotic patients whose EVs had been eradicated using EBL and excluded those who had been treated using EIS, those who had received endoscopic therapy for CVs, and those who were combined with hepatocellular carcinoma. Results. A total of 123 patients were enrolled. The age was 59.7 +/- 11.7 years, and 96 patients (78.0%) were men. Thirty-eight patients (30.9%) had EVs only, while 85 (69.1%) had GOV1s. After EVs eradication, the CVs disappeared in 55 patients (64.7%). EVs recurred in 40 patients, with recurrence rates at 1, 2, and 3 years of 16.0%, 29.6%, and 35.6%, respectively, the recurrence being more frequent in patients who had undergone EBL for secondary prophylaxis and in those with persisting CVs after EVs eradication (P = 0.003). Conclusions. CVs frequently disappeared when EVs were eradicated using EBL in patients with GOV1s. Persistence of CVs after EVs eradication by EBL was associated with EVs recurrence.
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1. Basic Science > Department of Biostatistics > 1. Journal Articles

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Lee, Hong Sik
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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