What is Variceal Band Ligation?
Variceal band ligation is an endoscopic procedure used to treat enlarged veins (varices) in the esophagus or stomach that are at risk of bleeding. This procedure involves placing small rubber bands around the varices to cut off their blood supply, causing them to shrink.
Procedure Overview
- Performed using an endoscope with a special banding device
- Multiple bands may be placed in a single session
- Usually completed in 20-30 minutes
- Typically performed under conscious sedation
Medical Indications
- Active variceal bleeding
- Prevention of first bleeding in high-risk varices
- Prevention of rebleeding
- Portal hypertension management
Pre-procedure Preparation
- Fasting for 6-8 hours before the procedure
- Review of current medications
- Blood tests to check clotting function
- Discussion of sedation options
Post-procedure Care
- Monitoring for 2-6 hours after the procedure
- Soft diet for 24-48 hours
- Temporary chest discomfort or difficulty swallowing
- Follow-up appointments to assess healing
Potential Complications
- Chest pain or discomfort
- Difficulty swallowing
- Minor bleeding at banding sites
- Ulceration at banding sites
- Rarely, serious bleeding or infection
Follow-up Schedule
- Initial follow-up within 1-2 weeks
- Endoscopic check at 2-3 months
- Regular surveillance as needed
- Monitoring of underlying liver condition