bleeding during band ligation of esophageal varices(esophageal varix spu...

Bleeding during band ligation of esophageal varices (an esophageal varix spotter on top of a white nipple#) the white nipple that bleeds( better the red nipple sign)
A 58-year-old man presented with a massive attack of hematemesis. After stabilization of the general condition, the patient underwent upper digestive endoscopy, which revealed large esophageal varices with a characteristic white nipple sign (best seen at 6 o'clock during the time 1.06).
The line of treatment was banding the varices, including the white nipple.
During the endoscopy and just before banding the white nipple. A venous spurter from the white nipple (minute1:58) begins to gush blood into the esophageal lumen. Fortunately, banding of the spurter was done successfully, and band ligation of the other varices was done.