Endoscopic Band Ligation for the Hemostasis of Active Esophageal Variceal Hemorrhage: Technique, Tips, and Tricks

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 hemostasis in acute esophageal variceal bleeding.

Acute variceal bleeding (AVB) is a milestone event for patients with portal hypertension. Esophageal varices bleed because of an increase in portal pressure that causes the variceal wall to rupture. AVB in a patient with cirrhosis and portal hypertension is associated with significant morbidity and mortality. The initial management of these patients includes proper resuscitation, antibiotic pro...

Complete esophageal obstruction following endoscopic variceal ligation.

Endoscopic variceal ligation (EVL) is the standard-of-care therapy for treating and preventing recurrence of acute esophageal variceal hemorrhage.1 EVL can also be used to prevent a patient’s first variceal bleeding episode, particularly in patients who have medium or large varices showing high-risk signs for bleeding or patients who are intolerant to β-blocker therapy.1-3 EVL has supplanted th...