Endoscopic band ligation, and Argon plasma coagulation Yields in management of Post-Hepatitis Portal Hypertensive Gastropathy
Soliman, A., Khedr, M., Ammar, I., Elfeshawy, M., Said, A. (2645). Endoscopic band ligation, and Argon plasma coagulation Yields in management of Post-Hepatitis Portal Hypertensive Gastropathy. EKB Journal Management System, 2024(7), -. doi: 10.58675/2682-339X.2507
Ali Soliman; Mohammed Khedr; Islam Ammar; Mohamed Elfeshawy; Ayman Said. "Endoscopic band ligation, and Argon plasma coagulation Yields in management of Post-Hepatitis Portal Hypertensive Gastropathy". EKB Journal Management System, 2024, 7, 2645, -. doi: 10.58675/2682-339X.2507
Soliman, A., Khedr, M., Ammar, I., Elfeshawy, M., Said, A. (2645). 'Endoscopic band ligation, and Argon plasma coagulation Yields in management of Post-Hepatitis Portal Hypertensive Gastropathy', EKB Journal Management System, 2024(7), pp. -. doi: 10.58675/2682-339X.2507
Soliman, A., Khedr, M., Ammar, I., Elfeshawy, M., Said, A. Endoscopic band ligation, and Argon plasma coagulation Yields in management of Post-Hepatitis Portal Hypertensive Gastropathy. EKB Journal Management System, 2645; 2024(7): -. doi: 10.58675/2682-339X.2507

Endoscopic band ligation, and Argon plasma coagulation Yields in management of Post-Hepatitis Portal Hypertensive Gastropathy

Al-Azhar International Medical Journal
Volume 2024, Issue 7, July 2024  XML
DOI: 10.58675/2682-339X.2507
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Authors
Ali Soliman1; Mohammed Khedr2; Islam Ammar3; Mohamed Elfeshawy4; Ayman Said3
1Hepatology, Gastroenterology and Infectious Disease, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
2Clinical pathology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
3Hepatology, Gastroenterology and Infectious Disease, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
4Radiology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Abstract
Background: Portal hypertensive gastropathy (PHG) refers to the visible alterations in the stomach that occur due to the dilatation of blood vessels in the mucosal submucosal layers, as observed during an upper endoscopy. Aim: To compare Endoscopic band ligation (EBL), Argon plasma coagulation (APC), and combined (EBL) & (APC) in the management of severe PHG associated with post-hepatitis liver cirrhosis. Patients and methods: This research performed on 108 cirrhotic individuals had overt or occult bleeding from severe PHG attending the Hepatology, Gastroenterology & infectious diseases Department, Al Azhar university hospitals, from June 2021till June 2022. individuals were separated into three groups: Group I: 35 patients underwent APC sessions, Group II: 37 patients underwent (EBL) only, and Group III: 36 patients underwent combined sessions of APC and EBL. Results: There was statistically significant variance among the examined groups concerning the improvement of post-treatment hemoglobin level, with no statistically significant variance regarding post-treatment hospitalization, transfusion, and incidence of endoscopic complications. Regarding the pre-and post-treatment hemoglobin level improvement in overt bleeding patients, There was a statistically significant variance, while in occult bleeding individuals, there was no statistically significant variance. Conclusion: APC, EBL, and combined therapies are all effective procedures in managing severe PHG with no major endoscopic complications. In overt bleeding patients: Combined therapy of APC and EBL showed more superiority over APC and EBL alone. In occult bleeding patients: All procedures are effective, with no superiority of any procedure over the others.
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