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    Home Gastroenterology Endoscopic Variceal Ligation

    Endoscopic Variceal Ligation

    Endoscopic variceal ligation is a procedure that uses advanced technology and offers a solution for enlarged oesophageal varices with fewer complications and faster healing than traditional approaches.

    This procedure was devised to provide a more effective endoscopic remedy for oesophageal varices, aiming for reduced complications compared to endoscopic sclerotherapy. Oesophageal varices are enlarged veins in the lining of the oesophagus, a muscular tube connecting the mouth to the stomach. These varices are particularly common in people who have severe liver disease.

    Choose Apollo Hospitals for your endoscopic variceal ligation procedure in Hyderabad. Our advanced facilities and specialised medical equipment prioritise innovative treatments, making us the premier destination for patients seeking top-quality care.

    Clinical Application

    • Bleeding prevention: Endoscopic variceal ligation is employed to prevent primary bleeding in patients with medium to large oesophageal varices who are unable to tolerate nonselective beta blocker therapy.
    • Management of acute bleeding from oesophageal varices: Patients with cirrhosis experiencing portal hypertension face potential complications, including bleeding from oesophageal varices.

    What to Expect During Endoscopic Variceal Ligation?

    • Pre-procedure consultation: Consult with your gastroenterologist in order to go through the details of the procedure and to express concerns and worries.
    • Sedation for comfort: You will be sedated during the procedure to ensure your comfort.
    • Endoscope insertion: The endoscope will be carefully inserted into your oesophagus by the medical team. It works by placing a small band around the varicose vein, which blocks it off and leads to clotting. Afterward, the tissue undergoes necrosis and sheds within a few days to weeks, resulting in a superficial mucosal ulceration that will eventually heal completely.
    • Variceal ligation: Using a special device, your gastroenterologist will place small rubber bands around the varices to effectively ligate them.

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    FAQ's

    ● Bleeding: While endoscopic variceal ligation aims to prevent variceal bleeding, there is a risk of bleeding during or after the procedure due to varix trauma or inadvertent vessel injury. ● Oesophageal ulceration: Band placement during endoscopic variceal ligation can result in oesophageal ulcers, potentially causing discomfort, pain, and bleeding. ● Stricture formation: Sometimes, after banding, scar tissue can narrow the oesophagus, making it hard to swallow. ● Infection: Infections are a potential risk with any endoscopic procedure, though they are generally uncommon. ● Aspiration pneumonia: During the procedure, sedation can be risky. If stomach contents are breathed in, it might cause pneumonia.

    You should only drink clear liquids for four hours following your procedure.

    The timing and frequency of endoscopic variceal ligation sessions are tailored to each patient's unique factors and the severity of their oesophageal varices. Your doctor will decide on a suitable schedule for the procedure based on your individual needs.

    Endoscopic variceal ligation procedure time varies. Usually, it is 30 to 60 minutes, depending on varices and your body.

    Your doctor might suggest dietary changes before or after endoscopic variceal ligation, like fasting before the procedure or avoiding certain foods and drinks afterward. Following these instructions is crucial for a successful procedure and to reduce any problems.
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