Severe Bleeding of the Upper Digestive System After Two Days of Band Ligation - Closer Look at the Varices

It continues to monitor the variceal bleeding caused after two days, after having placed the banding. At this time it was necessary to decide the next step which would place another band on this, sclerotherapy, or leave it alone. I think that with this observation it would have been better to place another band, however we use the argon plasma. Note: in another clinical case a patient, after having multiple sessions with rubber bands ligations by fibrosis caused by cicatrization (which is normal in the healing of the ligated varices), the patient begins with several episodes of bleeding. The exact site was located in the middle of fibrosis, which was only a blood clot in the middle of the one third of the esophagus. We proceeded to evaluate the hemostatic procedures and decided to place two bands. We were not really sure if the bands could play a role, and that hemostatic because the fibrosis could slip the bands one-by-one, and effectively reintroduce the endoscope with the air of the bands that were slipped. Caused severe bleeding which was successfully managed using a dual-channel endoscope and argon plasma coagulation. In this former case because the fibrosis we would recomended to use sclerotherapy. I'm locating the video clip to process and place in this atlas.