Procedures
Variceal Banding
Variceal banding is a procedure used to treat varices, which are enlarged veins in the esophagus or stomach caused by liver disease. By placing elastic bands around the varices, the risk of bleeding is reduced, helping prevent potentially life-threatening hemorrhages.
Overview
Variceal banding is performed during an upper endoscopy to treat enlarged veins (varices) in the esophagus or stomach. A flexible endoscope is inserted through the mouth, and small rubber bands are placed around the varices to reduce the risk of bleeding. This procedure is often repeated over time to prevent recurrent bleeding in patients with liver disease.
Purpose of the Procedure
Variceal banding is used to prevent or treat bleeding from varices in the esophagus or stomach, which are often caused by portal hypertension in patients with liver disease, reducing the risk of life-threatening hemorrhages.
How to Prepare
For variceal banding, patients are required to fast before the procedure. Blood tests may be necessary to check for clotting issues. Medications that thin the blood may be paused temporarily, and patients are advised to arrange transportation home as sedation is often used.
What to expect after
Following variceal banding, patients may feel mild chest discomfort or a sensation of tightness for a day or two. A soft diet is recommended for 24 hours to reduce irritation. Patients should avoid heavy lifting and strenuous activities for at least 48 hours to minimize the risk of bleeding.
Complications & Risk
Variceal banding can result in mild bleeding, chest discomfort, or difficulty swallowing. More serious complications include ulceration, infection, or perforation of the esophagus. In rare instances, band slippage or delayed bleeding can occur, requiring additional procedures.
Results and Follow-up
Variceal banding results are reviewed during follow-up appointments to ensure the varices have been successfully treated. Additional banding sessions may be necessary for large or multiple varices. If biopsies or imaging were performed during the endoscopy, results are discussed within a week. Routine follow-up endoscopies are often required to prevent recurrence.