Banding of Esophageal Varices
Hemostasis achieved in bleeding varices by the endoscopic application of rubber bands onto the bleeding sites. Narrow endoscopic view through the rubber band delivery attachment placed on the tip of the endoscope. Note the raised mucosal bleb (the varix) with a black band at the base.
Left: Two neighboring esophageal varices which have been successfully banded. Note the improved view through the clear multi-banding apparatus.
Right: The small circular band, which failed to deliver properly, sits at the tip of the clear endoscope attachment.
Jet of blood from an esophageal varix in a young man with alcoholic cirrhosis, as seen through the banding apparatus attached to the tip of the endoscope. View on the right demonstrates hemostasis achieved by the application of a band onto the bleeding site.
Appearance of esophagus in a 48 year-old man with cirrhosis and varices, who had bled from varices 3 days previously and had required placement of esophageal bands. In another day or two the banded areas would have sloughed off.
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