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How to save cost for esophageal varices?
May 21, 2008Patients with cirrhosis of the liver develop abnormally dilated blood vessels in esophagus. These are called esophageal varices. Blood vomiting may occur from the rupture of these varices, which may be fatal, so it is important to eradicate these varices.
To achieve this, an elastic band device is used. This device, called a multiband ligator, allows the consecutive application of up to six rubber bands to the varices in one session without removing the endoscope. The device is attached to the tip of the endoscope. The scope is introduced into the food pipe and the varix is sucked into the banding chamber, which applies the rubber band. Band ligation of esophageal varices is now considered the endoscopic procedure of choice to prevent recurrent variceal hemorrhage and eradicate varices, for which it usually requires 3®C4 sessions.
Endoscopic variceal ligation (EVL) is an expensive procedure, especially for patients from lower socioeconomic classes in developing countries.
This study, performed by a team lead by Dr. Zaigham Abbas, is described in a research article to be published on April 14, 2008 in the World Journal of Gastroenterology.
Dr. Zaigham Abbas and colleagues reloaded the multiband ligator originally used and used it for subsequent sessions on the same patient, instead of having a new multiband ligator for each session. After each session, all the accessories of the ligator were disinfected in glutaraldehyde solution by standard protocols. The band ligator was then reloaded with six hemorrhoidal bands. This method substantially reduces the cost®Cthe whole procedure using the reloaded band ligator was 58 % of the cost had a new ligator been used. The band ligator was virtually free as only the cost of the rubber bands was charged. The rest of the expenses were related to the endoscopy and recovery.
Reloading the original multiband ligator for the follow-up sessions of patients undergoing variceal eradication is a cost effective procedure and may be recommended for developing countries.
World Journal of Gastroenterology
This study, performed by a team lead by Dr. Zaigham Abbas, is described in a research article to be published on April 14, 2008 in the World Journal of Gastroenterology.
Dr. Zaigham Abbas and colleagues reloaded the multiband ligator originally used and used it for subsequent sessions on the same patient, instead of having a new multiband ligator for each session. After each session, all the accessories of the ligator were disinfected in glutaraldehyde solution by standard protocols. The band ligator was then reloaded with six hemorrhoidal bands. This method substantially reduces the cost®Cthe whole procedure using the reloaded band ligator was 58 % of the cost had a new ligator been used. The band ligator was virtually free as only the cost of the rubber bands was charged. The rest of the expenses were related to the endoscopy and recovery.
Reloading the original multiband ligator for the follow-up sessions of patients undergoing variceal eradication is a cost effective procedure and may be recommended for developing countries.
World Journal of Gastroenterology
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Portal venous tumor thrombus (PVTT) is a crucial factor that can worsen the prognosis of patients with hepatocellular carcinoma (HCC).
More Esophageal Varices Current Events and Esophageal Varices News Articles
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The surgical treatment of portal hypertension, bleeding esophageal varices and ascites (American lecture series) by Maxwell Judson Mackby (Author) | |
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Esophageal Varices - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications (Author) In March 2001, the National Institutes of Health issued the following warning: "The number of Web sites offering health-related resources grows every day. Many sites provide valuable information, while others may have information that is unreliable or misleading." Furthermore, because of the rapid increase in Internet-based information, many hours can be wasted searching, selecting, and printing.This book was created for medical professionals, students, and members of the general public who want to conduct medical research using the most advanced tools available and spending the least amount of time doing so. |
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Endoscopic Sclerotherapy of Esophageal Varices (Gastroenterology) by Michael V. Sivak Jr. (Editor) Papers included in this volume are from the Third International Endoscopy Symposium held in March 1983 and sponsored by the Cleveland Clinic. Leading endoscopists from Japan, England, South Africa, and West Germany as well as various American institutions explore state-of-the-art procedures and findings in endoscopic sclerotherapy. |
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Sclerotherapy for esophageal varices: An entry from Gale's Gale Encyclopedia of Surgery by Lori De Milto (Author), Monique, Ph.D. Laberge (Author) This digital document is an article from Gale Encyclopedia of Surgery, brought to you by Gale®, a part of Cengage Learning, a world leader in e-research and educational publishing for libraries, schools and businesses. The length of the article is 1303 words. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Written by experts in the field, this encyclopedia covers surgical procedures and related topics, such as anesthetics, medications, and postoperative care. Entries include definition, purpose, demographic information, diagnosis/preparation, aftercare, risks, morbidity, and mortality rates, alternatives, and more. | |
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Gale Encyclopedia of Medicine: Sclerotherapy for esophageal varices by Lori De Milto (Author) The article is excerpted from Gale Encyclopedia of Medicine. Consult the second edition of this authoritative, comprehensive, in-depth medical guide for information on more than 1,700 medical topics in language accessible to adult laypersons. Presented in a single alphabetical sequence, articles range in length from one or two paragraphs for minor topics, to several pages or more for major topics. Disease/disorder articles typically cover definition; description; causes and symptoms; diagnosis; treatments; prevention; and more. Test/treatment articles typically cover definition; purposes; precautions; preparation; risks; normal and abnormal results; and much more. This second edition includes more than 200 new entries, 300 updated entries, approximately 650 color... | |
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Bleeding esophageal varices, portal hypertension by Hirsch Robert Liebowitz (Author) | |
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Sclerotherapy for Esophageal Varices: An entry from Gale's Gale Encyclopedia of Medicine, 3rd ed. by Lori De Milto (Author) This digital document is an article from Gale Encyclopedia of Medicine, 3rd ed., brought to you by Gale®, a part of Cengage Learning, a world leader in e-research and educational publishing for libraries, schools and businesses. The length of the article is 777 words. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. The third edition of this authoritative, comprehensive, in-depth medical guide features information on medical topics in language accessible to adult laypersons. Disease/disorder articles typically cover definition; description; causes and symptoms; diagnosis; treatments; prevention; and more. Test/treatment articles typically cover definition; purposes;... | |
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[beta]-blockers cut risk of first bleed from esophageal varices by 50%.(Gastroenterology): An article from: Internal Medicine News by Michele G. Sullivan (Author) This digital document is an article from Internal Medicine News, published by Thomson Gale on November 1, 2005. The length of the article is 448 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: [beta]-blockers cut risk of first bleed from esophageal varices by 50%.(Gastroenterology) Author: Michele G. Sullivan Publication: Internal Medicine News (Magazine/Journal) Date: November 1, 2005 Publisher: Thomson Gale Volume: 38 Issue: 21 Page: 78(1) Distributed by Thomson... | |
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Management of Esophageal Varices: Journal: Digestive Diseases, Suppl. 1, 1992 by C. Scarpignato (Editor), Irvin M. Modlin (Editor) This volume contains a critical survey of the available therapeutic options for the treatment of acute bleeding from varices in the esophagus, a complication of portal hypertension. The mass of general and specific information on the field is synthesized and referenced for clinicians. | |
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Gale Encyclopedia of Medicine: Bleeding varices by Paul A. Johnson Ed.M. (Author) The article is excerpted from Gale Encyclopedia of Medicine. Consult the second edition of this authoritative, comprehensive, in-depth medical guide for information on more than 1,700 medical topics in language accessible to adult laypersons. Presented in a single alphabetical sequence, articles range in length from one or two paragraphs for minor topics, to several pages or more for major topics. Disease/disorder articles typically cover definition; description; causes and symptoms; diagnosis; treatments; prevention; and more. Test/treatment articles typically cover definition; purposes; precautions; preparation; risks; normal and abnormal results; and much more. This second edition includes more than 200 new entries, 300 updated entries, approximately 650 color... |
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