Esophageal necrosis and obstruction after esophageal variceal banding
A 78-year-old woman with a history of liver cirrhosis related to non-alcoholic steatohepatitis presented to the hospital with abdominal pain and distention. She was diagnosed with abdominal ascites and underwent paracentesis without evidence of infection. Esophagogastroduodenoscopy identified Grade...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Department of Medicine, Warren Alpert Medical School at Brown University
2022-04-01
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Series: | Brown Journal of Hospital Medicine |
Online Access: | https://doi.org/10.26300/1a49-tn03 |
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author | Simran Gupta Emily Zhou Jason Ferreira Arkadiy Finn |
author_facet | Simran Gupta Emily Zhou Jason Ferreira Arkadiy Finn |
author_sort | Simran Gupta |
collection | DOAJ |
description | A 78-year-old woman with a history of liver cirrhosis related to non-alcoholic steatohepatitis presented to the hospital with abdominal pain and distention. She was diagnosed with abdominal ascites and underwent paracentesis without evidence of infection. Esophagogastroduodenoscopy identified Grade 2 esophageal varices that were treated with band ligature. The patient developed dysphagia and was found to have esophageal necrosis and complete esophageal obstruction related to variceal banding. She was treated with removal of band ligatures and esophageal dilation, resulting in improved symptoms. Esophageal obstruction is a rare but important complication of variceal banding, which may occur within 24 hours of the procedure. |
first_indexed | 2024-04-12T16:37:28Z |
format | Article |
id | doaj.art-3e38c56382b949599bab6b4220066693 |
institution | Directory Open Access Journal |
issn | 2831-5553 |
language | English |
last_indexed | 2024-04-12T16:37:28Z |
publishDate | 2022-04-01 |
publisher | Department of Medicine, Warren Alpert Medical School at Brown University |
record_format | Article |
series | Brown Journal of Hospital Medicine |
spelling | doaj.art-3e38c56382b949599bab6b42200666932022-12-22T03:24:56ZengDepartment of Medicine, Warren Alpert Medical School at Brown UniversityBrown Journal of Hospital Medicine2831-55532022-04-0111Esophageal necrosis and obstruction after esophageal variceal bandingSimran GuptaEmily ZhouJason FerreiraArkadiy FinnA 78-year-old woman with a history of liver cirrhosis related to non-alcoholic steatohepatitis presented to the hospital with abdominal pain and distention. She was diagnosed with abdominal ascites and underwent paracentesis without evidence of infection. Esophagogastroduodenoscopy identified Grade 2 esophageal varices that were treated with band ligature. The patient developed dysphagia and was found to have esophageal necrosis and complete esophageal obstruction related to variceal banding. She was treated with removal of band ligatures and esophageal dilation, resulting in improved symptoms. Esophageal obstruction is a rare but important complication of variceal banding, which may occur within 24 hours of the procedure.https://doi.org/10.26300/1a49-tn03 |
spellingShingle | Simran Gupta Emily Zhou Jason Ferreira Arkadiy Finn Esophageal necrosis and obstruction after esophageal variceal banding Brown Journal of Hospital Medicine |
title | Esophageal necrosis and obstruction after esophageal variceal banding |
title_full | Esophageal necrosis and obstruction after esophageal variceal banding |
title_fullStr | Esophageal necrosis and obstruction after esophageal variceal banding |
title_full_unstemmed | Esophageal necrosis and obstruction after esophageal variceal banding |
title_short | Esophageal necrosis and obstruction after esophageal variceal banding |
title_sort | esophageal necrosis and obstruction after esophageal variceal banding |
url | https://doi.org/10.26300/1a49-tn03 |
work_keys_str_mv | AT simrangupta esophagealnecrosisandobstructionafteresophagealvaricealbanding AT emilyzhou esophagealnecrosisandobstructionafteresophagealvaricealbanding AT jasonferreira esophagealnecrosisandobstructionafteresophagealvaricealbanding AT arkadiyfinn esophagealnecrosisandobstructionafteresophagealvaricealbanding |