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...

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Main Authors: Simran Gupta, Emily Zhou, Jason Ferreira, Arkadiy Finn
Format: Article
Language:English
Published: Department of Medicine, Warren Alpert Medical School at Brown University 2022-04-01
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.
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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
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AT emilyzhou esophagealnecrosisandobstructionafteresophagealvaricealbanding
AT jasonferreira esophagealnecrosisandobstructionafteresophagealvaricealbanding
AT arkadiyfinn esophagealnecrosisandobstructionafteresophagealvaricealbanding