Joe galati of liver specialists of texas located in houston texas.
Esophageal varices rubber band ligation.
Band ligation can be performed on as many veins as necessary and may be repeated every 4 weeks until the varices have stopped bleeding.
Esophageal variceal band ligation is the best form of management for variceal bleeding until liver transplantation or surgical shunting is unavoidably required as a result of recurrent bleeding.
Small bands made of rubber are loaded onto the endoscope.
Using an endoscope the doctor uses suction to pull the varices into a chamber at the end of the scope and wraps them with an elastic band which essentially.
Band ligation what is band ligation of esophageal varices.
How is band ligation performed.
The bands may be used to prevent or stop bleeding.
An endoscope is a flexible tube with a light and camera on the end.
If left untreated esophageal veins varices can spontaneously rupture and cause severe bleeding.
Band ligation of esophageal varices the rupture of gastric varices results in variceal hemorrhage which is one the most lethal complications of cirrhosis.
The procedure is performed during an upper gastrointestinal.
After suctioning the bleeding varix into the tip of the endoscope the rubber band is slipped over the tissue causing necrosis ulceration and eventual sloughing of the varix.
The scope is moved down your throat until it reaches the varices or the area that is bleeding.
The bands are placed around the varices to cause them to shrink.
After the bleeding is controlled the doctor may prescribe medications to reduce blood pressure in the portal vein and prevent bleeding from starting again.
This is a videoendocsopy clip performed and narrated by dr.
These rings are similar to rubber.
If your esophageal varices appear to have a high risk of bleeding or if you ve had bleeding from varices before your doctor might recommend a procedure called endoscopic band ligation.
Endoscopy band ligation is used to treat enlarged veins in the esophagus the tube connecting the throat to the stomach.
The frequency of esophageal variceal band ligation evbl for the eradication of esophageal varices has no consensus.
This video demonstrates esop.
