{"id":600,"date":"2025-02-11T12:49:11","date_gmt":"2025-02-11T12:49:11","guid":{"rendered":"https:\/\/gujaratgastrohospital.in\/?page_id=600"},"modified":"2025-02-11T12:50:40","modified_gmt":"2025-02-11T12:50:40","slug":"endoscopic-variceal-ligation","status":"publish","type":"page","link":"https:\/\/gujaratgastrohospital.in\/endoscopic-variceal-ligation\/","title":{"rendered":"Endoscopic variceal ligation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"600\" class=\"elementor elementor-600\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9e55a47 e-con-full e-flex e-con e-parent\" data-id=\"9e55a47\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c55b56 elementor-widget elementor-widget-heading\" data-id=\"4c55b56\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 05-08-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Endoscopic variceal ligation (EVL)\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7d9a7fe e-con-full e-flex e-con e-parent\" data-id=\"7d9a7fe\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-069b1b1 e-con-full e-flex e-con e-child\" data-id=\"069b1b1\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-be6bbb3 elementor-widget elementor-widget-video\" data-id=\"be6bbb3\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/gKMyXAUaNtc?si=6ndOWw-GhwCG179Q&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 05-08-2024 *\/\n.elementor-widget-video .elementor-widget-container{overflow:hidden;transform:translateZ(0)}.elementor-widget-video .elementor-wrapper{aspect-ratio:var(--video-aspect-ratio)}.elementor-widget-video .elementor-wrapper iframe,.elementor-widget-video .elementor-wrapper video{height:100%;width:100%;display:flex;border:none;background-color:#000}@supports not (aspect-ratio:1\/1){.elementor-widget-video .elementor-wrapper{position:relative;overflow:hidden;height:0;padding-bottom:calc(100% \/ var(--video-aspect-ratio))}.elementor-widget-video .elementor-wrapper iframe,.elementor-widget-video .elementor-wrapper video{position:absolute;top:0;right:0;bottom:0;left:0}}.elementor-widget-video .elementor-open-inline .elementor-custom-embed-image-overlay{position:absolute;top:0;right:0;bottom:0;left:0;background-size:cover;background-position:50%}.elementor-widget-video .elementor-custom-embed-image-overlay{cursor:pointer;text-align:center}.elementor-widget-video .elementor-custom-embed-image-overlay:hover .elementor-custom-embed-play i{opacity:1}.elementor-widget-video .elementor-custom-embed-image-overlay img{display:block;width:100%;aspect-ratio:var(--video-aspect-ratio);-o-object-fit:cover;object-fit:cover;-o-object-position:center center;object-position:center center}@supports not (aspect-ratio:1\/1){.elementor-widget-video .elementor-custom-embed-image-overlay{position:relative;overflow:hidden;height:0;padding-bottom:calc(100% \/ var(--video-aspect-ratio))}.elementor-widget-video .elementor-custom-embed-image-overlay img{position:absolute;top:0;right:0;bottom:0;left:0}}.elementor-widget-video .e-hosted-video .elementor-video{-o-object-fit:cover;object-fit:cover}.e-con-inner>.elementor-widget-video,.e-con>.elementor-widget-video{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5a5fc44 e-con-full e-flex e-con e-child\" data-id=\"5a5fc44\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e0c3e17 elementor-widget elementor-widget-text-editor\" data-id=\"e0c3e17\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 05-08-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><strong data-start=\"45\" data-end=\"83\">Endoscopic variceal ligation (EVL)<\/strong> is a procedure used to treat <strong data-start=\"113\" data-end=\"135\">esophageal varices<\/strong>, which are enlarged veins in the esophagus caused by <strong data-start=\"189\" data-end=\"212\">portal hypertension<\/strong>, often due to <strong data-start=\"227\" data-end=\"246\">liver cirrhosis<\/strong>.<\/p><p>The procedure involves placing <strong data-start=\"279\" data-end=\"295\">rubber bands<\/strong> around the varices to cut off blood flow, causing them to shrink and eventually slough off.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cc6ae9 elementor-widget elementor-widget-text-editor\" data-id=\"1cc6ae9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4><strong><span style=\"text-decoration: underline;\">Indications<\/span>\u00a0:-<\/strong><\/h4>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a66c9e4 elementor-widget elementor-widget-text-editor\" data-id=\"a66c9e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li data-start=\"424\" data-end=\"638\"><p data-start=\"427\" data-end=\"492\"><strong data-start=\"427\" data-end=\"465\">Acute Esophageal Variceal Bleeding<\/strong> (Active or Recent Bleed)<\/p><ul data-start=\"496\" data-end=\"638\"><li data-start=\"496\" data-end=\"634\">First-line treatment for <strong data-start=\"523\" data-end=\"552\">acute variceal hemorrhage<\/strong> along with resuscitation and vasoactive drugs (e.g., octreotide, terlipressin).<\/li><\/ul><\/li><li data-start=\"639\" data-end=\"894\"><p data-start=\"642\" data-end=\"691\"><strong data-start=\"642\" data-end=\"689\">Prophylactic Treatment (Primary Prevention)<\/strong><\/p><ul data-start=\"695\" data-end=\"894\"><li data-start=\"695\" data-end=\"796\">In patients with <strong data-start=\"714\" data-end=\"735\">high-risk varices<\/strong> (large size, red wale marks, or Child-Pugh B\/C cirrhosis).<\/li><li data-start=\"800\" data-end=\"894\">Alternative to nonselective beta-blockers (e.g., propranolol, nadolol) if contraindicated.<\/li><\/ul><\/li><li data-start=\"896\" data-end=\"1030\"><p data-start=\"899\" data-end=\"953\"><strong data-start=\"899\" data-end=\"951\">Prevention of Rebleeding (Secondary Prophylaxis)<\/strong><\/p><ul data-start=\"957\" data-end=\"1030\"><li data-start=\"957\" data-end=\"1030\">Combined with beta-blockers to reduce the risk of recurrent bleeding.<\/li><\/ul><\/li><li>\u00a0<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2507f2 elementor-widget elementor-widget-text-editor\" data-id=\"c2507f2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4><strong>Procedure Steps<\/strong><\/h4>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-041934b elementor-widget elementor-widget-text-editor\" data-id=\"041934b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li data-start=\"1063\" data-end=\"1285\"><p data-start=\"1066\" data-end=\"1084\"><strong data-start=\"1066\" data-end=\"1082\">Preparation:<\/strong><\/p><ul data-start=\"1088\" data-end=\"1285\"><li data-start=\"1088\" data-end=\"1151\">Patient is fasted (usually 6\u20138 hours before the procedure).<\/li><li data-start=\"1155\" data-end=\"1198\">Sedation or general anesthesia is used.<\/li><li data-start=\"1202\" data-end=\"1285\">A flexible <strong data-start=\"1215\" data-end=\"1228\">endoscope<\/strong> with a variceal ligator is inserted through the mouth.<\/li><\/ul><\/li><li data-start=\"1287\" data-end=\"1616\"><p data-start=\"1290\" data-end=\"1313\"><strong data-start=\"1290\" data-end=\"1311\">Ligation Process:<\/strong><\/p><ul data-start=\"1317\" data-end=\"1616\"><li data-start=\"1317\" data-end=\"1380\">The endoscope identifies the bleeding or high-risk varices.<\/li><li data-start=\"1384\" data-end=\"1446\">A <strong data-start=\"1388\" data-end=\"1406\">suction device<\/strong> pulls the varix into a small chamber.<\/li><li data-start=\"1450\" data-end=\"1523\">A <strong data-start=\"1454\" data-end=\"1469\">rubber band<\/strong> is deployed around the varix, occluding blood flow.<\/li><li data-start=\"1527\" data-end=\"1616\">Multiple bands can be placed in a single session (usually <strong data-start=\"1587\" data-end=\"1612\">4\u20136 bands per session<\/strong>).<\/li><\/ul><\/li><li data-start=\"1618\" data-end=\"1882\"><p data-start=\"1621\" data-end=\"1647\"><strong data-start=\"1621\" data-end=\"1645\">Post-Procedure Care:<\/strong><\/p><ul data-start=\"1651\" data-end=\"1882\"><li data-start=\"1651\" data-end=\"1739\">Patients are observed for complications such as <strong data-start=\"1701\" data-end=\"1736\">pain, ulceration, or rebleeding<\/strong>.<\/li><li data-start=\"1743\" data-end=\"1787\">Soft diet is recommended for a few days.<\/li><li data-start=\"1791\" data-end=\"1882\">Repeat EVL sessions are scheduled <strong data-start=\"1827\" data-end=\"1846\">every 2\u20134 weeks<\/strong> until the varices are eradicated.<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa9f2c1 elementor-widget elementor-widget-text-editor\" data-id=\"aa9f2c1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4><strong>Complications of EVL<\/strong><\/h4>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc261e0 elementor-widget elementor-widget-text-editor\" data-id=\"dc261e0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><ul data-start=\"1920\" data-end=\"2178\"><li data-start=\"1920\" data-end=\"1994\"><strong data-start=\"1922\" data-end=\"1949\">Post-banding ulceration<\/strong> (common, may cause mild pain or bleeding).<\/li><li data-start=\"1995\" data-end=\"2063\"><strong data-start=\"1997\" data-end=\"2025\">Dysphagia or Odynophagia<\/strong> (difficulty or pain in swallowing).<\/li><li data-start=\"2064\" data-end=\"2127\"><strong data-start=\"2066\" data-end=\"2086\">Early rebleeding<\/strong> (due to incomplete varix eradication).<\/li><li data-start=\"2128\" data-end=\"2178\"><strong data-start=\"2130\" data-end=\"2156\">Esophageal perforation<\/strong> (rare but serious).<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Endoscopic variceal ligation (EVL) https:\/\/youtu.be\/gKMyXAUaNtc?si=6ndOWw-GhwCG179Q Endoscopic variceal ligation (EVL) is a procedure used to treat esophageal varices, which are enlarged veins in the esophagus caused by portal hypertension, often due to liver cirrhosis. The procedure involves placing rubber bands around the varices to cut off blood flow, causing them to shrink and eventually slough off. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-600","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Endoscopic variceal ligation - Gujarat Gastro &amp; Vascular Hospital<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gujaratgastrohospital.in\/endoscopic-variceal-ligation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopic variceal ligation - Gujarat Gastro &amp; Vascular Hospital\" \/>\n<meta property=\"og:description\" content=\"Endoscopic variceal ligation (EVL) https:\/\/youtu.be\/gKMyXAUaNtc?si=6ndOWw-GhwCG179Q Endoscopic variceal ligation (EVL) is a procedure used to treat esophageal varices, which are enlarged veins in the esophagus caused by portal hypertension, often due to liver cirrhosis. The procedure involves placing rubber bands around the varices to cut off blood flow, causing them to shrink and eventually slough off. 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