Active variceal bleeding during endoscopy, what is your prompt decision
A 64-year-old man presented with upper GI bleeding was admitted to the endoscopy unit. The patient underwent upper digestive endoscopy. The scope revealed esophageal varices with risky signs and white nipple signs. During the introduction of the scope with the rubber bands, active esophageal bleeding occurred. There is no spurter but diffuse bleeding.
What is your decision?
1- Band ligation of the varices at the lower esophageal sphincter.
2- Band ligation of the varices at the site of bleeding.
3- Injection sclerotherapy.
The cause of bleeding during endoscopy is
1-friction from the tip of the rubber band cap.
2- inflation of the esophagus (something like barotrauma)
3-bleeding tendency and risky varices
In your opinion, the bleeding was stopped due to
1- Spontaneously (coagulation factors of the patient)
2- Successful band ligation
Comments
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