Fitted with a suction cap adapter and passed back down to the level of the GE junction. The varix with the red spot at the GE junction is identified, then gently sucked up into the cap and the band deployed around the varix. A second site just proximal to the first is next selected and this is banded. This process is continued until all the bands are deployed. In view of the prognosis of portal hypertensive bleeding, it is clear that poorurgent treatment of acute variceal bleeding and interval management to prevent rebleeding is essential.
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