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Variceal Banding

Variceal Banding

Variceal banding also known as endoscopic variceal ligation in which gastroenterologist passes a flexible tube from mouth and rubber bands are placed on enlarged vein in food pipe ( esophagus ) due to portal hypertension.

It can be done in local anaesthesia or general anesthesia . The choice of anesthesia is given to patient and family .

FAQ

This procedure is done in 5-10 minutes time.

It is done to reduce the risk of variceal bleeding which may occur due to raised portal pressure. 

It is also done to control bleeding.

This is done initially at a interval of 3-4 weeks until varices are obliterated . Once varices gets obliterated than it is done at a interval of 1 year.

Yes variceal banding is a safe procedure. It is safe and well stablished procedure which is done by gastroenterologist.

Complications are rare but patient may experience slight chest discomfort , bleeding , perforation.

Preparation for variceal banding is similar to upper gi endoscopy. No separate preparation required.

6-8 hour of fasting is recommended . Patients are allowed to take clear liquid like water , coconut water 2hour before the procedure.

Patient is advised to avoid eating for 4-6 hours , after that patient is advised to take liquid.

Not always it is day care procedure , but it varies from patient to patient.

 Yes they can comeback . So regular follow up is recommended.

No , varices is a complication of cirrhosis. Treatment of underlying liver disease is must.

No they generally falls after few days.