Endoscopic variceal band ligation: a local experience.

OBJECTIVE

To evaluate the results of endoscopic variceal band ligation (EVBL) in the local set-up.

DESIGN

Retrospective analysis of data of all patients who had EVBL.

SETTING

Patients having EVBL at the office endoscopy suite. The Nairobi Hospital, the Aga Khan Hospital and M.P. Shah Hospital.

METHODS

The varices were diagnosed at oesophagogastroduodenoscopy (OGD) in patients with hemetemesis and EVBL performed after xylocaine throat spray and intravenous pethidine and bendiazepam sedation. Majority of the patients had EVBL performed on an outpatient basis on weekly intervals until variceal obliteration.

RESULTS

A total of 43 patients underwent 119 EVBL sessions at which 523 varies were banded. Four patients had active bleeding and the rest had EVBL for secondary prophylaxis. The variceal kill time was shorter and the transfusion requirements were less and none of the patients developed oesophageal strictures.

CONCLUSION

Endoscopic variceal band ligation was noted to give better results in the management of patients with oesophagealvarices in the local set-up, when compared to sclerotherapy in the past.