Endoscopic Band Ligation
(Esophageal Band Ligation)
|Banded Blood Vessel|
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Reasons for Procedure
- Painful swallowing
- Esophageal damage
- Bleeding disorder
- Active bleeding
- Advanced age
- Heart or lung problems
- Use of certain medicines
What to Expect
Prior to Procedure
- Your doctor will likely do a physical exam and order blood tests.
- Do not eat for 8 to 12 hours before the procedure.
- If you have diabetes, discuss your medications with your doctor.
- Arrange for transportation after the procedure. You should not drive for 24 hours after the procedure.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- Local—You may be given an anesthetic solution to gargle, or your throat may be sprayed with a numbing anesthetic.
- You may also be given a sedative to help you relax.
- Conscious sedation—You may be given medications through an IV. It will help you relax. Other medications will be given to treat any pain you feel during the procedure.
- General anesthesia—If you are having the procedure due to uncontrolled bleeding you may need to have intubation and general anesthesia to inhaling blood.
Description of the Procedure
How Long Will It Take?
Will It Hurt?
- Follow your doctor's instructions regarding your diet.
- Avoid driving or using heavy machinery for at least a day after your procedure. Sedatives may slow your reaction time.
- Avoid drinking alcohol for at least a day after your procedure.
- Get plenty of rest.
Call Your Doctor
- Signs of infection, including fever and chills
- Bleeding from the mouth
- Increasing pain
- Nausea and vomiting
- Bloody vomit
- Difficulty swallowing
- Cough, shortness of breath, or chest pain
- Lightheadedness or weakness
- Bloody or dark black stools
- Severe abdominal pain
American Society for Gastrointestinal Endoscopy http://www.asge.org
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Canadian Association of Gastroenterology http://www.cag-acg.org
Health Canada http://www.hc-sc.gc.ca
Asge Technology Committee, Conway JD, et al. Endoscopic hemostatic devices. Gastrointest Endosc. 2009;69(6):987-996.
Poza Cordon J, Froilan Torres C, et al. Endoscopic management of esophageal varicies. World J Gastrointest Endosc. 2012;4(7):312-322. Baron TH, Wong Kee Song LM. Endoscopic variceal band ligation. Am J Gastroenterol. 2009 May;104(5):1083-5.
Upper GI endoscopy. National Digestive Diseases Clearinghouse website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/upperendoscopy/index.aspx. Updated April 23, 2012. Accessed July 15, 2013.
- Reviewer: Michael Woods, MD
- Review Date: 06/2014 -
- Update Date: 00/71/2014 -