Cerebral Air Embolism After Endoscopic Variceal Band Ligation

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...

A Cerebral Air Embolism after Endoscopic Treatment

A 77-year-old man with liver cirrhosis was admitted to our hospital in 2015. He was unconscious and his Glasgow Coma Scale (GCS) score was 10. The Hb level was 3.5 mg/ dL. Contrast CT showed esophageal varices and atrophy of liver, these findings indicated a suspicion of liver cirrhosis. We considered that the varix rupture and the resulting hemorrhagic shock were the main cause of the patient’...

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.

Complete Esophageal Obstruction after Endoscopic Variceal Band Ligation in a Patient with a Sliding Hiatal Hernia

Complete esophageal obstruction is a rare complication of endoscopic variceal banding, with only 6 cases in the English literature since the introduction of endoscopic variceal banding in 1986. We report a case of complete esophageal obstruction following esophageal banding due to entrapment of part of a sliding hiatal hernia. To our knowledge, our case is one of few with esophageal obstruction...