Acute variceal bleeding treated with band ligation (J. Martín. Hospital de Valme)

abril 29, 2018

A 55-year-old male patient with alcoholic cirrhosis. Admitted at emergenci room for upper GI bleeding. Treatment with intravenous Somatostine was started and Erythromycin IV was indicated to empty the stomach. Esophageal varices and GOV1 without active bleeding were seen, initially. In the gastric esophagus union, a Mallory weis type lesion was observed and treated with a Hemoclip. Opposite the injury of Mallory Weiss, active bleeding occurs due to rupture of a GOV1. Initially we injected ethoxy-sclerol 1% in the variz without stopping the bleeding, We help with continuous washing with water and measure in cm to the dental arch to locate the lesion. Finally, due to the persistence of the bleeding, we placed two elastic bands.

 

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