Korean J Gastrointest Endosc.  2001 Aug;23(2):76-81.

Endoscopic Band Ligation for Non-variceal, Non-ulcer Gastrointestinal Hemorrhage and Post-polypectomy Hemorrhage

• Bae WK
• Kim YS
• Moon JS
• Rue JI
• Sun HK
• Ha KW
• Kim ES
• Lee JW
• Woo GH
• Jeon YB
• Yoo K

Abstract

BACKGROUND/AIMS: There is no consensus as to the best treatment for non-variceal, non-ulcer gastrointestinal hemorrhage. Endoscopic band ligation is an inexpensive, readily available, and easily learned technique in contrast to conventional thermal methods of endoscopic hemostasis. The purpose of this study is to define the effectiveness of endoscopic band ligation for non-variceal, non-ulcer gastrointestinal hemorrhage and post-polypectomy hemorrhage.
METHODS
Twenty eight patients were treated by band ligation between July 1996 and October 2000. The lesions treated were: Dieulafoy's lesion in 13, Mallory-Weiss tear in 7, angiodysplasia in 1, post-polypectomy bleeding in 4, post-endoscopic mucosal resection bleeding in 2, post-endoscopic biopsy bleeding in 1.
RESULTS
Endoscopic band ligation was successful in 25 of 28 cases. Additional sclerotherapy was necessary in two cases of Dieulafoy's lesion. The remaining case was early band detachment.
CONCLUSIONS
Endoscopic band ligation is effective for non-variceal, non-ulcer bleeding. It has the advantage of ease of use and is relatively inexpensive.

Keyword

Gastrointestinal hemorrhage; Polypectomy; Band ligation

MeSH Terms

Angiodysplasia
Biopsy
Consensus
Gastrointestinal Hemorrhage*
Hemorrhage*
Hemostasis, Endoscopic
Humans
Ligation*
Mallory-Weiss Syndrome
Sclerotherapy