Technology assessment status evaluation: endoscopic band ligation of varices

Abstract

On the basis of limited available data, band ligation appears to be effective for control of active esophageal variceal bleeding and for prevention of recurrent bleeding. It has minimal morbidity and no reported mortality. Preliminary results of a randomized-trial comparing this technique to sclerotherapy show comparable efficacy but band ligation may carry a lower complication rate. Long-term results of ligation are pending.