Banding of Esophageal Varices - 65 Years-Old Female

This endoscopic sequence displays multiple images and video clips concerning the technique of banding of esophageal varices. A 65 year-old female who ten years ago presented ascitis due to Ovarian carcinoma, for which she underwent chemotherapy. Apparently the carcinoma was overcamo, and she had been asymptomatic ever since. Ten days previously to the endoscopy, the patient presented ascitis. A CAT scan confirmed the ascitis and micro nodular cirrhosis was detected. We found multiple varices when we performed an upper endoscopy, never had bleeding. Primary prophylaxis: Patients with cirrhosis who have esophageal varices but who have never had a bleeding episode may be treated medically or endoscopically. Without treatment, approximately 30% of cirrhotic patients with varices bleed and this risk is reduced by approximately 50% with therapy.