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Esophageal Varices Ligation - Dubai Gastroenterology Clinic

Liver Cirrhosis is an irreversible end-stage of progressive active hepatic fibrosis. Patients diagnosed with cirrhosis are susceptible to several complications, and their life expectancy is usually dependent on them.

What are Esophageal Varices?

The resistance in the cirrhotic liver will lead to an increase in the pressure of the vessels proximal to it, causing  Esophageal varices, which are swollen blood vessels in the esophagus (the tube that connects the mouth to the stomach).

The Symptoms:

 Symptoms of bleeding from esophageal varices are:

  • Dark-colored or black bowel movements
  • Vomiting blood
  • Bloody bowel movements or diarrhea
  • Fainting
  • Dizzy
Recently diagnosed cirrhotic patients should have routine gastroscopy because esophageal varices do not lead to any symptoms until they start to bleed, and this condition could be even fatal.

If you have liver disease and feel one or more of these symptoms, you should call for an ambulance and go to the emergency. You should not drive yourself during an emergency, ask any relative, a family member, or any other person to drive you instead.

Frequent Check-up:

Endoscopy is necessary every 1 to 3 years if you have active cirrhosis. The physician will examine to view if you developed new varices or if the previous ones are getting larger.

Treatment:

Treatments that can cause varices to be less likely to bleed include:

Esophageal Varices Ligation:

If varices are bleeding, the doctor can do an endoscopy process called "variceal band ligation".  During this procedure, the doctor will place tiny rubber bands around the varices to close them and thus stop them from bleeding. Medications that reduce the amount of acid in your stomach are also needed while the varices heal as prescribed by the doctor. In some cases, doctors may have to inject the medications intravenously such as octreotide, vasopressins, or PPIs continuously.

After the procedure, patients are asked to stay on a diet of liquids and cold food for 3 days.

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How frequently:

Variceal band ligation has to be repeated every 4 to 8 weeks until the varices are healed. "TIPS" is a procedure for people who have severe and refractory bleeding. For this procedure, a doctor inserts a thin tube through a vein in the neck and places the tube inside the liver, which helps blood to flow through the liver more easily. This lowers the blood pressure in the varices and helps stop bleeding.

Esophageal varices prevention:

  • The treatment of the underlying liver disease that caused cirrhosis might help prevent varices.
  • Treating the esophageal varices as early as diagnosed also helps to prevent having any future varices.

 

Dubai Gastroenterology Clinic - Dr. Rami Hamed Center now provides the leading gastroenterologist in Dubai for Gastric Balloon, Colonoscopy, Colon Cancer Screening, and so on. DRHC offers highly qualified liver specialist doctors in Dubai with a wide range of services on liver failure, nonalcoholic fatty liver disease treatment, alcoholic liver disease treatment, etc.

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