A case of an acute pancreatitis after endoscopic band ligation of oesophageal variceal: A fortuitous association or an unusual complication?

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Lamia Kallel
noursaf Bibani
Olfa Azaiez
Haykel Bedioui
Kais Nouira
Jalel Boubaker
Emna Mnif
Zoubeir Ben Safta
Azza Filali

Abstract

Background : endoscopic band ligation is considered as the gold standard of treatment for oesophageal varices. Fewer and often mild complications can occur.
Aim: To report and to discuss an association between oesophageal variceal endoscopic band ligation and actue pancreatitis.
Case report: we report the original case of a patient with cirrhosis and who had presented an acute pancreatitis 3 days after oesophageal variceal endoscopic band ligation. Common aetiologies of acute pancreatitis was eliminated. The evolution was favourable without specific treatment.
Conclusion : In the absence of similar case reports, the association between oesophageal variceal endoscopic band ligation and acute pancreatitis observed in our patient remains rather fortuitous even though experimental studies can explain these association.

Keywords:

Acute pancreatitis, Oesophageal variceal endoscopic

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References

  1. Conférence de Consensus Complications de l'Hypertension Portale. Gastroenterol Clin Biol 2004; 28:318-23.
  2. De Franchis R. Evolving consensus in portal hypertension. Report of the Baveno IV Consensus Workshop on methodology of diagnosis and therapy in portal hypertension. J Hepatol 2005 ;43:167-76.
  3. Stiegmann GV, Goff JS, Michaletz-Onody PA, Korula J, Lieberman D, Saeed ZA, et al. Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophageal varices. N Engl J Med 1992; 326:1527-32.
  4. Gimson AES, Ramage JK, Panos MZ, Hayllar K, Harrison PM, Williams R, et al. Randomised trial of variceal banding ligation versus injection sclerotherapy for bleeding esophageal varices. Lancet 1993; 342: 391-4.
  5. Laine L, Stein C, Sharma V. Randomized comparison of ligation versus ligation plus sclerotherapy in patients with bleeding esophageal varices. Gastroenterology 1996;110:529-33.
  6. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH. Acute pancreatitis: value of CT in establishing prognosis. Radiology 1990;174: 331-6.
  7. Poon RT-P, Yeung C, Liu C-L, et al. Intravenous bolus somatostatin after diagnostic cholangiopancreatography reduces the incidence of pancreatitis associated with therapeutic endoscopic retrograde cholangiopancreatography procedures: a randomized controlled trial. Gut 2003;52:1768-73.
  8. Arvanitidis D, Anagnostopoulos GK, Giannopoulos D, et al. Can somatostatin prevent post-ERCP pancreatitis? Result of a randomized controlled trial. J Gastroenterol Hepatol 2004;19:278-82.
  9. Saltzman JR, Arora S. Complications of esophageal variceal band ligation. Gastrointest Endosc 1993;39:185-6.
  10. Tachibana I, Yoshikawa I, Sano Y, Tabaru A, Murata I, Otsuki M.. A case of mesenteric venous thrombosis after endoscopic variceal band ligation. Gastroenterol 1995;30:254-7.
  11. Malpani NK, Somani AK, Vardhan V, Goyal VP. Inadvertent banding of laryngeal mucosa during endoscopic variceal band ligation. Indian J Gastroenterol 1997;16:121.
  12. Tuncer K, Ozütemiz O. An unusual complication of oesophageal variceal band ligation: iatrogenic esophageal foreign body. Endoscopy 2003;35:460.
  13. Lo GH, Liang HL, Lai KH, Chang CF, Hwu JH, Chen SM et al..The impact of endoscopic variceal ligation on the pressure of the portal venous system. J Hepatol 1996;24:74-80.
  14. Manenti A, Botticelli A, Sannicola A, Gibertini G. Acute pancreatitis in course of experimental portal hypertension: histological observations in the rat..Pathologica 1994;86:70-3.