Author/Authors :
Woon Park, Seung Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Seok Seo, Yeon Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Ah Lee, Han Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Jung Park, Sang Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Hyung Kim, Tae Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Min Lee, Jae Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Jun Suh, Sang Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Soon Choi, Hyuk Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Sun Kim, Eun Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Keum, Bora Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Kul Jung, Young Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Hoon Kim, Ji Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , An, Hyonggin Department of Biostatistics - Korea University College of Medicine, Seoul, Republic of Korea , Joon Yim, Hyung Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Tae Jeen, Yoon Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Yeon, Jong Eun Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Sik Lee, Hong Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Jai Chun, Hoon Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Soo Byun, Kwan Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Ho Um, Soon Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea , Duck Kim, Chang Department of Internal Medicine - Korea University College of Medicine, Seoul, Republic of Korea
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.
