EVALUATION OF ENDOSCOPIC VARICEAL LIGATION USING ENDOLOOP AS A NEW METHOD FOR MANAGEMENT OF BLEEDING OESOPHAGEAL VARICES

Abstract

Variceal bleeding responsible for 20% of deaths 111 the countary side between the age of 20-50 years ( Abd El Gaffar, 1981) and it constitute about 80% of upper gastro­ intestinal .hemorrhage in Egypt due to the prevalence of schistosomiasis and cirrhosis (Madwar, 1987).

The aim of this study is to evaluate the role of endoscopic endoloop I igation of oesophageal varices in the mailagement of bleeding esophgeal varices in comparison to endoscopic sclerotherapy and endoscopic rubber band ligation f!S regards efficacy, technique related complica­ tions and mmiality rate.

150patients with a history of hematemesis and/or melena from oesophageal varices were randomly allocated into three groups. The sclerotherapy group (50 patients) rubber band group (50 patients) and endoloop group (50 patients).

The three groups were matched together regarding age, sex, clinical examination, liver function tests, Child-