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Updated: Aug 19, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
Endoscopic variceal ligation using multiband ligator
R K Pokharna1, Sunil Kumar, P C Khatri
1Departments of Gastroenterology and Pediatrics, S.P. Medical College, Type III 8, Medical College Campus, Bikaner (Rajasthan) 334 003, India. rkpokharna2@rediffmail.com
Abstract:
Esophageal variceal bleed in children is treated with endoscopic sclerotherapy (EST), which is associated with significant complications. Endoscopic variceal ligation (EVL) was found to be more effective and safe in adults. Use of EVL in children has not been studied much. Thirteen consecutive children (mean age 9.4 years) with variceal bleed were subjected to EVL by multi band ligator. Varices were eradicated in 2.8 sessions (range 2-4) and one patient had bleed during procedure. No other complications were noted. EVL could not be performed in 2 children less than 3 years of age.
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