A new method for endoscopic variceal band ligation in Zenker’s diverticulum

A new method for endoscopic variceal band ligation in Zenker's diverticulum.

A 62-year-old man was admitted with hematemesis. He had been diagnosed to have hepatitis B-related cirrhosis 4 months earlier, and had not undergone esophagogastroduodenoscopy (EGD) previously. He had no history of dysphagia. During intubation with an endoscope (GIF Q-150, Olympus, Japan), resistance was encountered at the upper esophageal sphincter, and a diverticulum was noted at this level. ...

Complete esophageal obstruction after endoscopic variceal band ligation.

Endoscopic variceal band ligation (EVL) is the endoscopic therapy of choice for esophageal varices. We present a very rare complication of EVL: complete esophageal obstruction [1]. A 64-year-old woman with cirrhosis was admitted for her fourth EVL. During the procedure, esophageal mucosal scarring from previous ligation, mild stenosis of the lower third of the esophagus, and a single large vari...

Complete esophageal obstruction following endoscopic variceal band ligation

Variceal hemorrhage is a potential complication of portal hypertension. Besides medical management, endoscopic variceal band ligation (EVBL) has emerged as a promising prophylactic tool proving to be superior to sclerotherapy. EBVL is a simple procedure associated with minor complications and short recovery time. In this report, we present a case of a rare complication of complete esophageal ob...

Endoscopic band ligation of active cardiac variceal bleeding.

Endoscopic variceal band ligation compared with propranolol for prophylaxis of first variceal bleeding.

Administration of nonselective beta-blockers in prophylaxis of first variceal bleeding is not suitable for all patients. Thus, we evaluated endoscopic variceal band ligation (EVBL) in primary prevention of bleeding in patients with cirrhosis and large esophageal varices. A total of 73 consecutive patients with liver cirrhosis and large esophageal varices without a history of gastrointestinal bl...