{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:57:18Z","timestamp":1747184238837,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,12]],"date-time":"2022-06-12T00:00:00Z","timestamp":1654992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Objective assessments of esophageal varices (EVs) are inadequate. The recurrence of variceal bleeding after endoscopic variceal ligation (EVL) is associated with residual blood flow underlying EVL or incomplete treatment of a perforating vein by EVL. We aimed to assess our novel through\u2010the\u2010scope endoscopic Doppler probe method (DOP) for the evaluation and management of EVs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 20 patients (54 varices) with a history of esophageal variceal rupture from June 2019 to May 2021 who underwent DOP at a tertiary hospital. Variceal velocities were compared based on the size and endoscopic variceal findings. Additionally, we performed EVL assisted by DOP (EVL\u2009+\u2009DOP) in nine patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Doppler imaging of EVs was observed in all 20 patients. The velocity of varices was significantly higher in EVs with a larger size, greater form, blue color, and red color sign positive. Perforating veins connecting to the EVs were identified in six out of nine patients who underwent EVL\u2009+\u2009DOP. Eight out of nine patients underwent repeat EVL. Repeat EVL was performed until the variceal velocity reached absent. No recurrence of variceal bleeding occurred during the follow\u2010up period (mean 8.7\u2009\u00b1\u20093.2\u2009months). No adverse events associated with DOP were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The evaluation of EVs using DOP is feasible and accurate. EV velocities are related to the variceal size, form, blue color, and red color sign. EVL\u2009+\u2009DOP may be a more reliable treatment for EVs. Further large\u2010scale, long\u2010term comparative studies are warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.14345","type":"journal-article","created":{"date-parts":[[2022,4,30]],"date-time":"2022-04-30T06:10:16Z","timestamp":1651299016000},"page":"1370-1379","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation and management of esophageal varices by through\u2010the\u2010scope endoscopic Doppler probe method"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7784-6210","authenticated-orcid":false,"given":"Yasutoshi","family":"Shiratori","sequence":"first","affiliation":[{"name":"Department of Gastroenterology St. Luke's International Hospital  Tokyo Japan"},{"name":"Department of Gastroenterology Sherbrooke University Hospital  Sherbrooke 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