Introduction:
Since its introduction in 1986[1], endoscopic
variceal ligation (EVL) has gained wide acceptance in clinical practice
due to its simplicity, short duration, and low complication
rates[2, 3]. Clinical guidelines in many countries
have been recommended EVL as the first-line treatment for esophageal
varices in liver cirrhosis[4-6]. However, there
have been reports of potential adverse events associated with EVL. These
include esophageal stenosis, ulcer bleeding, esophageal perforation,
esophageal hematoma, pneumonia, and spontaneous bacterial
peritonitis[7-10]. Although rare, cases of liver
dysfunction following EVL have also been reported. In this paper, we
present the case of a 50-year-old male patient diagnosed with alcoholic
cirrhosis and esophageal variceal rupture and bleeding. He underwent
emergency EVL for hemostasis at our hospital. Subsequently, he developed
liver dysfunction. The patient’s condition improved following active
conservative treatment in internal medicine and DPMAS+PE therapy.