Rubber Bands Ligation of Esophagus Varices

Endoscopic elastic band ligation (EBL) in eradicating esophageal varices has been shown to be an effective, safe, easy-to-do procedure with few untoward effects.
The indications for EBL of esophageal varices include control of acute variceal bleeding, primary prophylaxis to prevent the first episode of variceal bleeding in high-risk patients, and secondary prophylaxis to prevent rebleeding following an initial episode of acute variceal bleeding.
Hemostatic treatment is essential in acute esophageal variceal bleeding, a medical emergency associated with relevant morbidity and mortality.
The use of variceal ligation instead of sclerotherapy as emergency endoscopic therapy for the treatment of acute variceal bleeding significantly improves the efficacy and safety.