JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (12): 78-82.doi: 10.6040/j.issn.1671-7554.0.2014.282

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Endoscopic band ligation of upper gastrointestinal submucosal lesions: long-term outcomes and risk factors

LIU Fengyan, HAN Bing, ZHONG Ning, ZHENG Xueting, LI Wenjie, HAN Wei, JIA Xiaoqing, LI Yanqing   

  1. Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2014-05-04 Revised:2014-11-24 Published:2014-12-10

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Abstract: Objective To evaluate the long-term outcomes after endoscopic band ligation of upper gastrointestinal submucosal lesions and risk factors. Methods Clinical and endoscopic data of 194 cases of upper gastrointestinal submucosal lesions undertaking endoscopic band ligation were retrospectively analyzed. The success rate of treatment and adverse effect were obtained during long-term follow-up. The accrate rate of common endoscopy in evaluating the depth of lesions was assessed according to endoscopic ultrasound reports. Results The ligation was accomplished in 184 cases (94.8%), 90% of which were successful. Multivariable analysis showed that lesion diameter of more than 0.8cm and deep location were risk factors for the failure of ligation procedure. Evaluation of the depth of lesions by common white light endoscopy and endoscopic ultrasound was not comparable (Kappa value 0.04). Conclusion Endoscopic ligation of submucosal lesions in upper digestive tract is safe and effective, yet follow-up is necessary even for those who were thought to achieve success by the operators. And endoscopic ultrasound evaluation is essential before the procedure.

Key words: Upper gastrointestinal tract, Submucosal lesions, Flat sheet endoscopy, Endoscopic ultrasound, Band ligation

CLC Number: 

  • R571
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