The procedure of band ligation was conducted using Saeed multiband ligator shooter.
Results: This study was conducted on 62 patients eligible for elective band ligation.
All patients of both groups were re-evaluated clinically with good history taking 1st week and two weeks following band ligation to clarify the possible, expected minor complications of band ligation with special stress on chest pain, dysphagia and re-bleeding.
During the follow up endoscopy, 2 weeks after band ligation we observed that:
We had studied the effect of band ligation on the grade of OV in both groups of patients.
Variceal band ligation is associated with side effects of its own which can be classified as those resulting from elastic band ligation itself and its tissue effects and those from use of the overtube (in the old technique).
Specific hypotheses were that patients treated with sucralfate following band ligation would have fewer and smaller post banding ulcers and they would experience less chest pain, dysphagia and rebleeding.
As regards the beneficial effect of band ligation on decreasing the size and hence grading of oesophageal varices, the present study revealed that there was a satisfactory reduction in grading of OV in each group after EVL, however it was statistically not significant between both groups.
Endoscopic variceal band ligation (EVL) is a safe and effective therapeutic and prophylactic method in managing oesophageal varices.
Complications of Oesophageal Variceal Band Ligation.
Secondary Prophylaxis with Elastic Band Ligation in Oesophageal-Gastric Varices.