Upper GI Endoscopy and Banding in Liver Cirrhosis Patients
What is Endoscopy?
Endoscopy is a medical procedure that allows a doctor to examine the inside of your gastrointestinal (GI) tract using a thin, flexible tube with a light and camera called an endoscope. The endoscope is inserted through your mouth and into your esophagus, stomach, and upper part of the small intestine.
Why is Endoscopy Done in Liver Cirrhosis Patients?
Endoscopy is commonly performed in liver cirrhosis patients to evaluate and manage complications related to portal hypertension, a condition commonly seen in cirrhosis. Portal hypertension can lead to the development of varices, which are enlarged veins in the esophagus and stomach. These varices can be prone to bleeding, and endoscopy is used to detect and treat them.
What is Banding in Endoscopy?
Banding is a treatment technique performed during endoscopy to manage varices. It involves placing rubber bands around the varices to prevent or control bleeding. The bands are placed using a specialized instrument called a banding device, which is attached to the endoscope.
Preparation for Endoscopy
Procedure of Endoscopy
- You will be given a local anesthetic to numb your throat and reduce discomfort during the procedure.
- You will lie on your side or back on an examination table.
- The endoscope will be gently inserted through your mouth and down your esophagus.
- The camera at the end of the endoscope will transmit images to a monitor, allowing the doctor to examine the lining of your esophagus, stomach, and upper small intestine.
- If varices are detected, banding may be performed during the same procedure.
- The banding device will be used to place rubber bands around the varices, which will cause them to shrink and eventually fall off.
- The procedure usually takes about 15 to 30 minutes, but the overall time may vary.
Note
During the procedure, you will be monitored by medical professionals, and your comfort and safety will be ensured. It is important to follow any specific instructions provided by your healthcare team and discuss any concerns or questions you may have before the procedure.