EFFECTIVENESS OF SINGLE SESSION OF BAND LIGATION IN ACHIEVING HEMOSTASIS IN PATIENTS PRESENTED WITH ACUTE UPPER GASTROINTESTINAL BLEEDING SECONDARY TO ESOPHAGEAL VARICES
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Abstract
Objective: To determine the effectiveness of single session of band ligation in patients who had esophageal variceal bleeding.
Methodology: It was a retrospective analysis of the data in which we reviewed medical records of 823 cirrhotic patients who presented with active esophageal variceal bleeding between 01/09/2015 and 31/08/2016 in Lady Reading Hospital Peshawar and assessed them for eventual outcomes i.e. initial hemostasis, rebleeding and mortality rate.
Results: The mean age was 51 ±11.9 years and 523 (63.5%) were males in our study. Majority (n=603, 80.6%) belonged to Child class "C". A single session of band ligation was successful in securing hemostasis in 804 (97.67%) patients.
Conclusion: Single session of band ligation was successful in achieving and maintaining hemostasis in most of the patients admitted with esophageal variceal bleed.
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