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All Journal Malahayati International Journal of Nursing and Health Science
Tasya Fabiola Alim
Universitas Surabaya
Health Professions Nursing Public Health

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Evaluation of recurrent esophageal variceal rupture post-endoscopic band ligation: A case report Tasya Fabiola Alim
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.895

Abstract

Background: One serious side effect of portal hypertension that is often seen in individuals with liver cirrhosis is esophageal varices.  Even after Endoscopic Band Ligation (EBL), there is a significant chance that these varices may bleed again.  Uncontrolled portal pressure, therapeutic noncompliance, and concomitant gastrointestinal disorders are often linked to rebleeding. Purpose: To evaluate the risk factors influencing the success of Endoscopic Band Ligation (EBL) in preventing rebleeding in patients with a history of esophageal variceal rupture. Method: Using a descriptive case study approach with an eye on one patient undergoing treatment at a hospital, this research medical records provided data, which were then descriptively examined to assess clinical factors, forms of treatment given, and patient condition over time. Results: Results revealed that individuals with hepatic cirrhosis brought on by a hepatitis B infection are very likely to rebleed. Among the contributing causes were uncontrolled portal hypertension, congestive gastropathy, gastrointestinal bleeding-related chronic anemia, and inadequate therapeutic adherence. Furthermore important were eating behaviors that aggravate gastrointestinal problems. Conclusion: Stopping rebleeding calls for a multidisciplinary strategy. Monitoring portal pressure, following beta-blocker and antiviral treatment, and teaching patients about long-term care are among these aspects. To confirm these results, further research using bigger sample sizes is required.
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