Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 7, 2024; 30(21): 2827-2828
Published online Jun 7, 2024. doi: 10.3748/wjg.v30.i21.2827
Endoscopic band ligation or endoscopic tissue adhesive injection in the treatment of gastric varices: Which is better?
Li-Zhi Yi, Sheng-Bing Zhao
Li-Zhi Yi, Department of Gastroenterology, The People’s Hospital of Leshan, Leshan 614000, Sichuan Province, China
Sheng-Bing Zhao, Department of Gastroenterology, Changhai Hospital, The Second Military Medical University/Naval Medical University, Shanghai 200433, China
Author contributions: Yi LZ wrote the letter; Zhao SB revised the letter; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Zhi Yi, PhD, Doctor, Department of Gastroenterology, The People’s Hospital of Leshan, No. 238 White Tower Road, Leshan 614000, Sichuan Province, China. 651218437@qq.com
Received: March 4, 2024
Revised: April 24, 2024
Accepted: May 10, 2024
Published online: June 7, 2024
Processing time: 90 Days and 21.6 Hours
Abstract

The combination of endoscopic ultrasound with endoscopic treatment of type 1 gastric variceal hemorrhage may improve the robustness and generalizability of the findings in future studies. Moreover, the esophageal varices should also be included in the evaluation of treatment efficacy in subsequent studies to reach a more convincing conclusion.

Keywords: Gastric varices, Esophageal varices, Endoscopic band ligation, Endoscopic tissue adhesive injection, Endoscopic ultrasound

Core Tip: Deng et al proposed individualized treatment for type 1 gastric varices according to the different severity of varicose veins. However, the diagnosis of type 1 varicose veins by conventional endoscopy may not be accurate. The combination of endoscopic ultrasound with endoscopic treatment of type 1 gastric variceal hemorrhage may improve the robustness and generalizability of the findings in future studies. The esophageal varices should also be included in the evaluation of treatment efficacy in subsequent studies to reach a more convincing conclusion.