Fatal bleeding from a residual vein at the esophageal ulcer base after successful endoscopic variceal ligation

Hidenori Toyoda, Yoshihide Fukuda, Yoshiaki Katano, Mieko Ebata, Ken Ichi Nagano, Kiyoshi Morita, Shoichi Yokozaki, Mamiko Takeuchi, Tetsuo Hayakawa

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Endoscopic variceal band ligation (EVL) is now one of the accepted treatment options for esophageal varices, and the safety of this procedure has been proved. However, we experienced a patient who had a fatal massive bleeding after successful EVL for ruptured esophageal varix. Postmortem study revealed a residual vein at the base of the esophageal ulceration associated with the ligation, which was believed to be the site of the fatal bleeding. His platelet counts and prothrombin time were not very impaired. Our case indicates that fatal massive bleeding can occur in patients after successful EVL without specific risk factors and indicates the importance of the awareness of the possibility of these complications.

Original languageEnglish
Pages (from-to)158-160
Number of pages3
JournalJournal of Clinical Gastroenterology
Volume32
Issue number2
DOIs
Publication statusPublished - 2001
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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