What endoscopic therapy is available to control variceal bleeding?
Variceal endoscopic band ligation (EBL) and sclerotherapy are the main methods for endoscopic control of variceal bleeding, and control bleeding in approximately 90% of cases. EBL is the preferred method based on lower rebleeding (26% vs. 44%), mortality (24% vs. 31%) and complication rates (11% vs. 25%) when compared with sclerotherapy. In general, gastric varices are not amenable to band ligation (see [CR] ). Figure 50-2 presents an algorithm for the treatment of variceal bleeding.