Endoscopic Band Ligation in Bangladesh

Endoscopic Band Ligation (EBL) is used to treat esophageal varices. It's also known as endoscopic variceal ligation (EVL). When veins in the esophagus enlarge and cause life-threatening bleeding, then EBL is required for treatment. The procedure involves using an endoscope to place rubber bands around the varices, cutting off their blood supply and shrinking them.

A successful and comfortable EBL procedure requires an expert doctor. Dr. Salahuddin Mahmud is one of the best doctors for endoscopic band ligation in Bangladesh. His 23 years of experience and expertise in EBL make him the top choice for all.

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Pre-procedural preparation for EBL

Before starting endoscopic band ligation, a patient needs several preparations. Complete a health checkup, assess the condition perfectly, do another organ checkup, and discuss the procedure reality with patients. You need to confirm the patient's consent. Our qualified doctor Dr. Salahuddin Mahmud follows the mentioned process:

Patient Evaluation:

Comprehensive medical history checkup, including liver disease, bleeding disorders, and current medications
Several laboratory tests (CBC, coagulation profile, liver function tests)
Assessment of varices severity through endoscopy or imaging studies

Informed Consent:

Explain the procedure, risks, benefits, and potential complications to the patient.
Get written consent.

Patient Preparation:

Ensure the patient fasts for at least 6–8 hours before the procedure.
Administer prophylactic antibiotics if indicated.
Ensure IV access is secured for sedation and emergency interventions.
Position the patient in a left lateral decubitus position.

Sedation and Monitoring:

Administer conscious sedation (e.g., midazolam, fentanyl) or general anesthesia, as needed.
Continuously monitor vital signs (heart rate, blood pressure, oxygen saturation) throughout the procedure.

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Step-by-step procedure of Endoscopic Band Ligation

EBL involves several processes. Here we mentioned the procedure step-by-step:

Endoscope Insertion:

Introduce the lubricated endoscope into the patient’s mouth and advance it into the esophagus.
Identify the varices and assess their size, number, and bleeding status.

Band Deployment:

Attach the banding device to the end of the endoscope.
Engage the varix into the banding cap by suction.
Deploy the elastic band around the varix, creating a ligated nodule.
Repeat the process for additional varices as needed, ensuring adequate spacing between bands.

Post-Ligation Assessment:

Confirm successful band placement and check for any immediate complications, such as bleeding.
Remove the endoscope carefully while avoiding injury to the esophageal mucosa.

Post-procedural care

After the completion of the endoscopic band ligation procedure, some post-procedural care is crucial for patients. Dr. Salahuddin Mahmud is always focused and sincere about the follow-up process. Normally he takes the following care:

Monitoring:

Observe the patient in a recovery area for at least 1–2 hours post-procedure.
Monitor for potential complications such as chest pain, dysphagia, bleeding, or perforation.

Dietary and Activity Guidelines:

Instruct the patient to consume only clear liquids for the first 24 hours, followed by a soft diet for the next few days.
Advise against consuming hot, spicy, or rough-textured foods that may dislodge the bands.

Medications:

Prescribe proton pump inhibitors (PPIs) to reduce acid exposure and enhance mucosal healing.
Continue or initiate beta-blockers (e.g., propranolol) to reduce portal hypertension if indicated.

Follow-Up:

Schedule a follow-up endoscopy in 2-3 weeks to assess healing and determine if additional sessions are needed.
Encourage lifestyle modifications, including alcohol cessation and adherence to a liver disease management plan.

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Potential complications

Mild discomfort or transient dysphagia.
Post-banding ulceration or delayed bleeding.
Esophageal perforation (rare but serious).
Infection (rare, but prophylactic antibiotics may be used in high-risk patients).

Why choose Dr. Salahuddin Mahmud?

Dr. Salahuddin Mahmud is the most reliable and expert gastroenterology specialist in Bangladesh. He is known for his modern procedural technique and long experiences. Here we mentioned some important factors about him:

Expert gastroenterologist:
23 years of experiences
Advanced techniques
Modern equipment
Patient-Centric Approach
Good behavior and skill

Related questions

No, the procedure is performed under mild sedation or anesthesia, so patients do not feel pain. Some may experience mild discomfort or a sore throat after the procedure.

The procedure usually takes 15–30 minutes, depending on the number of varices being treated. Patients can go home the same day after a short observation period.

While EBL is generally safe, potential risks include mild discomfort, difficulty swallowing, minor bleeding, or, in rare cases, infection. Severe complications are uncommon when performed by an experienced doctor.

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