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Date Published: 03/02/2026
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DOI: https://doi.org/10.51298/vmj.v558i3.17243
Issue
Vol. 558 No. 3 (2026)
Section
Các bài báo
How to Cite
Lê , T. T., Lê , H. T., Trần , N. T., Nguyễn , V. M. K., Võ , V. C., & Tài , T. Ánh C. (2026). CLINICAL, SUB-CLINICAL CHARACTERISTICS AND EVALUATION OF ESOPHAGEAL VARICEAL LIGATION TREATMENT RESULTS IN CIRRHOTIC PATIENTS AT NINH THUAN GENERAL HOSPITAL IN 2025. Vietnam Medical Journal, 558(3). https://doi.org/10.51298/vmj.v558i3.17243

CLINICAL, SUB-CLINICAL CHARACTERISTICS AND EVALUATION OF ESOPHAGEAL VARICEAL LIGATION TREATMENT RESULTS IN CIRRHOTIC PATIENTS AT NINH THUAN GENERAL HOSPITAL IN 2025

Thành Tài Lê 1,, Huy Thạch Lê 2, Ngọc Thịnh Trần 2, Vũ Mai Khanh Nguyễn 2, Văn Cẩn Võ 2, Thụy Ánh Châu Tài 2
1 Can Tho University of Medicine and Pharmacy
2 Ninh Thuan General Hospital

Main Article Content

Abstract

Background: Esophageal variceal bleeding is the most dangerous emergency complication in cirrhotic patients, with a high mortality rate ranging from 20% to 35%. Endoscopic Variceal Ligation (EVL) is currently the primary intervention of choice due to its safety and high hemostatic efficacy. Objective: To describe the clinical and sub-clinical characteristics and evaluate the treatment outcomes of esophageal variceal bleeding using EVL at Ninh Thuan General Hospital. Patients and Methods: A cross-sectional interventional study was conducted on 70 cirrhotic patients with gastrointestinal bleeding due to variceal rupture treated with EVL from April 2024 to April 2025. Results: The mean age was 54.7 ± 11.9 years, with males accounting for 79%. Clinical symptoms included fresh hematemesis in 72.9% and melena in 82.9% of cases. Regarding liver function, 57.1% were classified as Child-Pugh B and 32.9% as Child-Pugh C. Endoscopic findings revealed grade III varices in 65.7% and red signs (RC+++) in 70.1%. The successful hemostasis rate achieved was 91.4%, while the rebleeding rate was 5.7% and the failure rate was 2.9%. No major complications, such as esophageal perforation or aspiration, were recorded. Conclusion: Endoscopic variceal ligation is a safe and highly effective method for controlling emergency bleeding and reducing the rate of severe complications.

Article Details

Keywords

Cirrhosis, esophageal variceal bleeding, endoscopic variceal ligation (EVL), endoscopy

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