Endoscopic Variceal Band Ligation Evl Indications and Technique

Fig. 2. Esophageal variceal ligation. (A) Banding device including cylinder with rubber bands. (B). Banding device is placed over the varix. (C) Suction is applied to aspirate varix into the cylinder. (D) Upon the release of the trip-wire, the rubber band strips off the cylinder and closes around the aspirated varix. (E) Ligated varix with endoscope removed.

Fig. 2. Esophageal variceal ligation. (A) Banding device including cylinder with rubber bands. (B). Banding device is placed over the varix. (C) Suction is applied to aspirate varix into the cylinder. (D) Upon the release of the trip-wire, the rubber band strips off the cylinder and closes around the aspirated varix. (E) Ligated varix with endoscope removed.

After initial control of hemorrhage is achieved, the patient undergoes elective ligation 1 wk later and in 2-wk intervals thereafter for complete eradication of varices.

0 0

Post a comment