Endoscopy Plus Banding – Advanced Treatment for Esophageal Varices
Endoscopy Plus Banding, also known as Endoscopic Variceal Band Ligation (EVL), is a minimally invasive procedure used to treat enlarged veins (esophageal varices) in the esophagus. These varices commonly develop due to portal hypertension, often caused by chronic liver diseases such as cirrhosis. If left untreated, esophageal varices can rupture and cause life-threatening bleeding.
Our experienced gastroenterologists perform Endoscopy Plus Banding using advanced endoscopic technology to effectively control bleeding, prevent future episodes, and improve patient outcomes.
What Is Endoscopy Plus Banding?
Endoscopy Plus Banding is a therapeutic endoscopic procedure in which a flexible endoscope equipped with a special banding device is passed through the mouth into the esophagus. Small elastic bands are placed around enlarged veins (varices), cutting off their blood supply. Over time, the banded varices shrink and are naturally eliminated by the body. The procedure is safe, effective, and usually performed under conscious sedation for patient comfort.
Treat bleeding esophageal varices
Prevent first-time bleeding in high-risk varices
Reduce the risk of recurrent variceal bleeding
Manage complications of liver cirrhosis
Control portal hypertension-related complications
Improve long-term outcomes in patients with chronic liver disease
Esophageal Varices
Portal Hypertension
Liver Cirrhosis
Chronic Liver Disease
Portal Vein Disorders
Recurrent Upper Gastrointestinal Bleeding
Vomiting blood (Hematemesis)
Black or tarry stools (Melena)
Dizziness or fainting
Weakness and fatigue
Signs of chronic liver disease
Jaundice
Abdominal swelling (Ascites)
Low blood pressure due to bleeding
Mild sedation is administered to ensure comfort.
A flexible endoscope is gently passed through the mouth into the esophagus.
Enlarged varices are identified using a high-definition camera.
Small rubber bands are placed around the affected veins.
The bands cut off the blood supply, causing the varices to shrink.
The endoscope is carefully removed after the treatment.
The procedure usually takes 20–30 minutes, and most patients can return home the same day unless hospitalization is required.
Minimally invasive treatment
Effectively controls active bleeding
Prevents recurrent bleeding
Reduces the need for surgery
High success rate
Quick recovery
Performed under sedation for comfort
Safe and evidence-based procedure
Short hospital stay in most cases
Fast for 6–8 hours before the procedure
Inform the doctor about current medications
Discuss blood-thinning medications if applicable
Share any allergies or medical conditions
Arrange transportation home if sedation is used
Follow all instructions provided by the healthcare team
Most patients recover quickly after the procedure.
You may experience a mild sore throat or slight discomfort for a day or two.
Follow-up endoscopies may be recommended to ensure complete eradication of the varices and to monitor for recurrence.
Dr. Pankaj Kumar
MBBS - SMS Medical College Jaipur
MD - RNT
Medical College Udaipur
DM Gastroenterology -
SGPGI Lucknow.
Consultant - Gastroenterology at Max Super Speciality Hospital
Our Service
Contact Info
Phone
+91 9599210449
drpankajkumargastro@gmail.com
Clinic
Ground Floor, B 100A, B Block, Pocket H, Sector 27, Noida, Uttar Pradesh 201301
OPD Time
Mon to Sat - 6 PM to 9 PM