Complete esophageal obstruction following endoscopic variceal ligation

Division of Gastroenterology and Hepatology, The Pennsylvania State University Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Gastroenterology and Hepatology 08/2011; 7(8):557-9.
Source: PubMed


Complete esophageal obstruction has been described in the literature only once before. In this case report, we present the second such case. Immediate complaints of dysphagia after banding - along with the presence of sial-orrhea or the inability to tolerate liquids - should suggest the possibility of obstruction. Obstruction can be documented by a contrast swallow study. If the patient has not eaten recently (ie, there is no chance of a food impaction), we do not recommend performing a repeat endoscopy, as it could dislodge a band and cause bleeding. Conservative measures such as intravenous fluids and parenteral nutrition may be needed. With time, the varix should slough, and dysphagia should be relieved.

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Available from: Thomas R Riley, III, Feb 23, 2014
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