After many years of using sclerotherapy as first line treatment for bleeding esophageal varices we first used variceal band ligation in 1997 in an emergency situation where a large grade IV varix started spurting blood following intravariceal sclerotherapy with excellant results. Since then we were converted to EVL and now demand for sclerotherapy by referring physicians is more often than not ignored. In early enthusiasm for Endoscopic Variceal Band Ligation we also banded a few Gastric varices but now prefer using Glue injection for Gastric varices. 
Endoscopic Variceal Band Ligation
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