A treatment for esophageal varices, in which synthetic bands are placed around actively bleeding vessels. Band ligation may be more effective than the widely accepted sclerotherapy used to obliterate varices
Cataldo added that with the success of rubber band ligation, "about 1% of the people who come to my office actually get a hemorrhoidectomy.
In one study 2,900 patients underwent rubber band ligation and were followed for 12 years with a long-term success rate of 79%; 18% of patients required a second banding procedure, and 3% underwent hemorrhoidectomy.
Of 60 patients with a recent history of bleeding gastric varices enrolled in this prospective, randomized study, 31 were treated with endoscopic obturation using butyl cyanoacrylate injections, and 29 were treated using endoscopic band ligation.
SSBT insertion was used in 3 patients, and endoscopic variceal band ligation (EVBL) was performed in 4 of the older patients.
Endoscopic variceal band ligation has been shown to be superior due to fewer complications, (13,14) but its use in children aged <3 years remains technically difficult due to the diameter of the smallest band applicator.
Sclerotherapy versus variceal band ligation for oesophageal varices: influence on gastropathy, gastric varices and variceal recurrences.
The aim of the present work is to assess the use of sucralfate after variceal band ligation and to clarify its role in healing and prevention of post-variceal band ligation ulcers bleeding.
Group I (study group): Included 31 patients in whom endoscopic band ligation was done then received sucralfate 1 gm every 6 hours for 2 weeks.
Group II (control group): Included 31 patients in whom endoscopic band ligation was done then received placebo every 6 hours for 2 weeks.
Upper GI endoscopy (pentax EPM 3500 videoscope and Pentax EPM 3300 videoscope); Esophagogastroduodenoscopy was done to all patients to evaluate the following points and then to conduct the process of oesophageal varices band ligation.