Clin Endosc.  2020 Mar;53(2):230-231. 10.5946/ce.2019.076.

Removal of a Trigger Cord Stuck between Bands during Endoscopic Multiple-Band Ligation for Treating Esophageal Variceal Hemorrhage

• Ham NS
• Lee D
• Won SH
• Kim J
• Jo S
• Yi S
• So S

• KMID: 2500891
• DOI: http://doi.org/10.5946/ce.2019.076

Abstract

Endoscopic variceal ligation is the preferred endoscopic treatment method for esophageal variceal bleeding. The incidence of complications such as chest pain, bleeding, stricture formation, and aspiration pneumonia is low. We report a case wherein a malfunctioning multiple-band ligator could have potentially caused damage to the esophageal varices and massive bleeding. The equipment was safely removed using scissors and forceps. To the best of our knowledge, this is the first published report detailing the management of a case of esophageal variceal bleeding.

Keyword

Esophageal varix; Endoscopic variceal ligation; Complication

Figure

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  Fig. 1. Cutting the trigger cord connected to the ligator handle with scissors.

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  Fig. 2. Selectively grasping the trigger cord from between the bands.

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  Fig. 3. Gradual advancing of the endoscope and forceps to pull out the trigger cord from between the bands.

Reference

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