Endoscopic Variceal Ligation in Mumbai, Navi Mumbai

Endoscopic Variceal Ligation (EVL) is a medical procedure used to treat varices, which are swollen and dilated veins, typically in the esophagus or stomach. Varices can occur in individuals with conditions such as cirrhosis, where there is increased pressure in the portal vein system leading to the development of these enlarged veins. The main goal of Endoscopic Variceal Ligation is to prevent or stop bleeding from these varices. The procedure involves using an endoscope, a flexible tube with a light and camera at its tip, which is inserted through the mouth and into the esophagus. The endoscope allows the doctor to visualize the varices and perform the ligation.

Ligation is the process of tying off or banding the varices to reduce the risk of bleeding. In EVL, small rubber bands are placed around the varices, causing them to constrict and eventually fall off. This helps to stop or prevent bleeding from the varices. EVL is considered an effective and relatively safe method for treating variceal bleeding. It is often performed as part of the overall management of patients with liver cirrhosis and portal hypertension. Regular follow-up may be required to monitor for the recurrence of varices and to perform additional ligations if needed.

At Purushottam Vashistha's clinic in Mumbai and Navi Mumbai, you can find advanced treatment for gastrointestinal problems. The clinic, led by experienced gastroenterologist Dr. Purushottam Vashistha, offers a high-quality and comprehensive healthcare experience. It specializes in (EVL), Endoscopic Variceal Ligation in Mumbai, Navi Mumbai, a minimally invasive procedure used to treat variceal bleeding. Dr. Vashistha's expertise in this procedure ensures effective diagnosis and treatment, giving patients peace of mind in managing their gastrointestinal health. The clinic's dedication to providing state-of-the-art endoscopic techniques a commitment to quality healthcare and an efficient approach to resolving gastrointestinal issues.

Endoscopic Variceal Ligation Treatment in Mumbai, Navi Mumbai

Here's an overview of the Endoscopic Variceal Ligation treatment process:

  1. Indications for EVL: EVL is typically recommended for patients with esophageal varices who are at high risk of bleeding. It is often performed as a preventive measure in individuals diagnosed with liver cirrhosis.
  2. Procedure: The procedure is usually performed by a gastroenterologist during an upper endoscopy. The patient is usually sedated to ensure comfort during the procedure. A flexible endoscope, a thin, lighted tube with a camera, is passed through the mouth and into the esophagus.
  3. Ligation of Varices: Once the endoscope is in place, small rubber bands are placed around the enlarged veins (varices). These bands constrict the varices, leading to their closure and preventing further bleeding.
  4. Number of Sessions: The number of EVL sessions needed varies depending on the severity of varices and the patient's response to treatment. Follow-up sessions may be scheduled to ensure the effectiveness of the treatment.
  5. Post-Treatment Care: After the procedure, patients are monitored for any immediate complications. Some individuals may experience mild discomfort or a sore throat, but serious side effects are rare.
  6. Complications: While EVL is generally safe, there can be complications, such as esophageal ulcers, stricture formation, or bleeding. These risks are typically outweighed by the potential benefits of preventing variceal bleeding.

Risk & Benefits of Endoscopic Variceal Ligation

Endoscopic Variceal Ligation (EVL) is a medical procedure used to treat esophageal varices, which are enlarged veins in the esophagus often associated with liver cirrhosis. Like any medical intervention, EVL comes with both risks and benefits.

Benefits of Endoscopic Variceal Ligation:

  1. Variceal Hemorrhage Prevention: EVL is primarily performed to prevent and treat bleeding from esophageal varices. By ligating or tying off the varices, the risk of severe bleeding is significantly reduced.
  2. Improved Survival Rates: EVL has been shown to improve the survival rates of patients with cirrhosis and esophageal varices, particularly in preventing recurrent bleeding episodes.
  3. Minimally Invasive: EVL is a minimally invasive procedure conducted through an endoscope, which is a thin, flexible tube. This reduces the need for open surgery and generally leads to quicker recovery times.
  4. Outpatient Procedure: In many cases, EVL can be performed on an outpatient basis, allowing patients to return home on the same day.

Risks and Complications of Endoscopic Variceal Ligation:

  1. Bleeding: While EVL is intended to prevent bleeding, there is a risk of bleeding during or after the procedure. This is usually minor but can, in rare cases, be severe.
  2. Esophageal Stricture: The formation of strictures or narrowing in the esophagus is a potential complication. This may lead to difficulty swallowing and may require additional treatment.
  3. Infection: As with any invasive procedure, there is a risk of infection, although this is relatively uncommon.
  4. Recurrent Varices: Despite the initial success of EVL, some patients may experience the recurrence of esophageal varices, necessitating further interventions.
  5. Adverse Reactions to Sedation: The use of sedation during the procedure carries a risk of adverse reactions, although these are generally rare.
  6. Perforation: In rare instances, there is a risk of perforation or a hole in the esophagus during the procedure.