Variceal bleeding is a debilitating condition that results in portal hypertension. Digestive tract bleeding within the stomach and the esophagus is a risky situation associated with cirrhosis.
Bleeding occurs due to an increase in the blood pressure within the veins that transfer blood from the digestive tract to the liver.
It is a method used for treating the esophageal varices that have a higher risk of rupturing.
The procedure requires multiple intervention to stop the bleeding from enlarged veins.
Individuals with variceal bleeding need appropriate care to minimize the risk of re-bleeding.
Technique Variceal Banding:
- A lightened endoscope is used
- An elastic band helps to control esophageal vein bleeding.
- Banding prevents the blood flow to the vein. The banded tissue forms crust after ulceration that heals in few days.
- It is a safe procedure that does not disrupt the esophageal structure or builds pressure within the portal system.
- Regular monitoring is important during variceal banding
- Laboratory investigation including complete blood count tests and coagulation profile
- Eat light during dinner time
- Do not drink or eat after midnight
- IV medications to be given to relax the patient
- Lie down on the left side, a device is placed that suctions and clears all the fluid from the mouth
- A scope reaches the esophagus via the mouth
- Once varices are identified scope is removed and banding device is attached at the scope end
- This helps to attach the enlarged veins which are then banded.
- Monitor the patient after sedatives fade away
- Recommend clear liquids after 4 hours of surgery
- After 4 hours, soft foods are allowed
Variceal bleeding and re-bleeding can be avoided by medicines like beta-blockers
- Puncture of esophagus wall
- Sores in esophagus
- Narrowing of esophagus