Variceal Bleeding: Beyond Banding

Lolwa N. Al-Obaid, Ahmad Najdat Bazarbashi, Marvin Ryou

Research output: Contribution to journalReview articlepeer-review


Despite advances in the management of complications of portal hypertension, variceal bleeding continues to be associated with significant morbidity and mortality. While endoscopic variceal band ligation remains first line therapy for treating bleeding and high-risk non-bleeding esophageal varices, alternate therapies have been explored, particularly in cases of refractory bleeding. The therapies being explored include stent placement, hemostatic powder use, over-the-scope clips and others. For gastric variceal bleeding, endoscopic ultrasound-guided therapies have recently emerged as promising interventions for hemostasis. The aim of this article is to highlight these alternative therapies and their potential role in the management of gastric and esophageal variceal bleeding.

Original languageEnglish
Pages (from-to)1442-1454
Number of pages13
JournalDigestive diseases and sciences
Issue number5
StatePublished - May 2022


  • Band ligation
  • Coil therapy
  • Esophageal stent
  • Sclerotherapy
  • Variceal bleeding


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