Therapy is initiated with bands Endoscopic variceal ligation is based on the widely used technique of rubber-band ligation of hemorrhoids. The esophageal mucosa and the submucosa containing varices are ensnared, causing subsequent strangulation, sloughing, and eventual fibrosis, resulting in obliteration of the varices Rebleeding occurs less frequently with endoscopic varicea ligation (26%) than with endoscopic sclerotherapy (45%)
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