Endoscopic Band Ligation

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
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I was the first at BUMC to perform endoscopic band ligation of esophageal varices.
In 440/448 patients, endoscopic intervention was used to control variceal bleeding at the index endoscopy session; 349 had sclerotherapy (median volume 14 ml, range 1-40) as the initial endoscopic intervention and 86 had endoscopic band ligation of varices (median 5 bands, range 1-10).
In particular its use for awake endotracheal intubation (2) and oesophageal intubation for endoscopic band ligation has been reported (3).
Airtraq laryngoscope for difficult intubation during endoscopic band ligation.
Endoscopic band ligation of oesophageal varices has been developed and adapted for use with the flexible endoscope.
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.
Therapeutic endoscopic procedures: Self-expandable metallic stents and endoscopic band ligation have been studied minimally.
Prophylactic endoscopic band ligation is used for patients who are not able to tolerate, or have contraindications, to beta blocker therapy.
14) The combination of nonselective beta blockers and endoscopic band ligation is more effective than either therapy alone.
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.
The Gore study for ascites patients comes on the heels of a landmark study published in The New England Journal of Medicine comparing early TIPS intervention with the GORE VIATORR TIPS Endoprosthesis to pharmacotherapy / endoscopic band ligation in high risk variceal bleeding patients with positive results.