FEATURES: 1991 OUTSTANDING PAPER AWARD: PDF OnlyA New Approach to Esophageal Varices Endoscopic Variceal LigationWINCHESTER, CAROLYN B., RN, BSNAuthor Information Received December 31, 1990. For revision February 6, 1991. Accepted May 2, 1991. About the author:Ms Winchester is a research nurse at the VAMC Baylor College of Medicine in Houston, Texas. She manages several research protocols involving therapeutic endoscopy. She has been in the gastroenterology field for 2½ years and is a member of the Greater Houston SGNA. She was a winner of the 1990 Education Poster Session for the GHSGNA chapter. She is coauthor of many abstracts and articles published in GI journals. She has 10 years' nursing experience in a variety of specialty areas. Address correspondence to: Carolyn B. Winchester, RN, VAMC-Digestive Disease (IIID), 2002 Holcombe Boulevard, Houston, TX 77030. Gastroenterology Nursing: August 1991 - Volume 14 - Issue 1 - p 4-8 Buy Abstract Bleeding from esophageal varices is a devastating complication of portal hypertension and is associated with a high mortality rate. The management goals for this group of patients are to achieve hemostasis in the acute phase, reduce variceal size, reduce the potential of rebleeding and eliminate varices with a follow-up program. For the past two decades, the gold standard of treatment has been endoscopic sclerotherapy but at the expense of many complications, which often cause serious morbidity. Endoscopic variceal ligation was developed as an alternative to endoscopic sclerotherapy. The experience to date shows that the goals of therapy can be achieved with fewer complications than those associated with sclerotherapy. © The Society of Gastroenterology Nurses & Associates 1991. All Rights Reserved.