{"id":1285,"date":"2025-01-10T10:56:28","date_gmt":"2025-01-10T10:56:28","guid":{"rendered":"https:\/\/gastrokoum.gr\/?page_id=1285"},"modified":"2025-01-10T10:56:28","modified_gmt":"2025-01-10T10:56:28","slug":"%cf%80%ce%b5%cf%81%ce%af%ce%b4%ce%b5%cf%83%ce%b7-%ce%ba%ce%b9%cf%81%cf%83%cf%8e%ce%bd","status":"publish","type":"page","link":"https:\/\/gastrokoum.gr\/en\/%cf%80%ce%b5%cf%81%ce%af%ce%b4%ce%b5%cf%83%ce%b7-%ce%ba%ce%b9%cf%81%cf%83%cf%8e%ce%bd\/","title":{"rendered":"Banding of oesophageal varices"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div      class=\"vc_row wpb_row section vc_row-fluid  vc_custom_1736205841762 grid_section\" style=' text-align:left;'><div class=\"section_inner clearfix\"><div class='section_inner_margin clearfix'><div class=\"wpb_column vc_column_container vc_col-sm-8\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div id=\"bgLayers_comp-ldru98ae\" class=\"MW5IWV\" data-hook=\"bgLayers\" data-motion-part=\"BG_LAYER comp-ldru98ae\">\n<h1 id=\"bgMedia_comp-ldru98ae\" class=\"VgO9Yg\" data-motion-part=\"BG_MEDIA comp-ldru98ae\">Esophageal varices circumcision<\/h1>\n<\/div>\n<div class=\"\" data-mesh-id=\"comp-ldru98aeinlineContent\" data-testid=\"inline-content\">\n<div data-mesh-id=\"comp-ldru98aeinlineContent-gridContainer\" data-testid=\"mesh-container-content\">\n<div id=\"comp-ldru98cy\" class=\"HcOXKn c9GqVL QxJLC3 lq2cno YQcXTT comp-ldru98cy wixui-rich-text\" data-testid=\"richTextElement\">\n<p class=\"font_7 wixui-rich-text__text\"><strong><span class=\"wixui-rich-text__text\">What is esophageal varicose vein ligation?<\/span><\/strong><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><span class=\"wixui-rich-text__text\">Patients with cirrhosis of the liver, when the liver damage is severe enough, experience dilatation of the oesophageal venous network (varices) which may occasionally bleed, resulting in severe bleeding into the digestive tract. Esophageal variceal ligation is the recommended endoscopic procedure for the prevention and treatment of esophageal variceal bleeding in which elastic rings are placed over the varices, resulting in their disappearance.<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\">The procedure is performed in a hospital setting since it can have the complication of bleeding from varicose veins that will require hospital treatment. In many cases, the procedure to ligate the esophageal varices may need to be repeated until the varices have completely disappeared and patients will need to be on a surveillance program with endoscopy for early detection of recurrence and treatment<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><strong><span class=\"wixui-rich-text__text\">What are the signs of esophageal varices?<\/span><\/strong><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><span class=\"wixui-rich-text__text\">Every patient with liver cirrhosis needs to be on a surveillance programme to detect and treat oesophageal varices. Most commonly, medication is used for primary prevention of bleeding but when there are signs of increased risk of bleeding varices may need to be banded as well.<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\">Esophageal variceal ligation is the method of choice for the treatment of variceal bleeding in hospitalized patients and for the secondary prevention of esophageal variceal bleeding after the first treatment session. In addition to the dressing, medication (beta-blockers) is used to prevent recurrence of bleeding.<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><strong><span class=\"wixui-rich-text__text\">During the operation<\/span><\/strong><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\">\u200b<\/span><span class=\"wixui-rich-text__text\">Your doctor will then perform a gastroscopy to check for varicose veins in the oesophagus. If necessary, he will proceed to treat the varicose veins by bandaging them, during which plastic rings will be placed on the base of the varicose veins with the help of suction. These plastic rings are usually detached from the oesophageal wall after about 10 days.<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\">In some cases, the patient may need to be hospitalized after the varicose veins are bandaged for better monitoring of the patient and administration of drug therapy.<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><strong><span class=\"wixui-rich-text__text\">After the operation<\/span><\/strong><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\">You should be monitored carefully for the next 10-15 days after the dressing treatment for possible complications<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\">An adult will need to accompany you home after the operation. Do not drive or operate any machinery for the next 24 hours.<\/span><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><strong><span class=\"wixui-rich-text__text\">Are there any complications from esophageal varicose vein ligation?<\/span><\/strong><\/p>\n<p class=\"font_7 wixui-rich-text__text\"><span class=\"wixui-rich-text__text\"><span class=\"inherit-font-size wixui-rich-text__text\"><span class=\"wixGuard wixui-rich-text__text\">\u200b<\/span><\/span><\/span><span class=\"wixui-rich-text__text\">Sometimes it is possible to have complications from the procedure such as those of a simple gastroscopy. A common complication is failure to control bleeding which will require further in-hospital hospitalisation and other treatment. When the plastic rings fall off it is possible to have a recurrence of bleeding.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\t\t<\/div> \n\t<\/div> \t<div class=\"vc_empty_space\"  style=\"height: 45px\" ><span\n\t\t\tclass=\"vc_empty_space_inner\">\n\t\t\t<span class=\"empty_space_image\"  ><\/span>\n\t\t<\/span><\/div>\n\n<\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-4\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\">\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><img decoding=\"async\" src=\"https:\/\/static.wixstatic.com\/media\/810ef3_b29713a23db14eb0b8c071f926da36f5~mv2.jpg\/v1\/fill\/w_423,h_255,al_c,lg_1,q_80,enc_avif,quality_auto\/banding%201_edited_edited.jpg\" alt=\"banding 1_edited_edited.jpg\" \/><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/static.wixstatic.com\/media\/810ef3_25550f0178694c109ab31fab404e5cb8~mv2.jpg\/v1\/crop\/x_203,y_0,w_436,h_240\/fill\/w_423,h_233,al_c,q_80,usm_0.66_1.00_0.01,enc_avif,quality_auto\/banding%201_edited.jpg\" alt=\"banding 1_edited.jpg\" \/><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/static.wixstatic.com\/media\/810ef3_47a655aaaf7c49d0ad51443c9078f916~mv2.png\/v1\/fill\/w_408,h_328,al_c,q_85,usm_0.66_1.00_0.01,enc_avif,quality_auto\/banding%202_edited_edited.png\" alt=\"banding 2_edited_edited.png\" \/><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/static.wixstatic.com\/media\/810ef3_122474d782ee4b52adb77b4f2ac613f8~mv2.png\/v1\/fill\/w_414,h_320,al_c,q_85,usm_0.66_1.00_0.01,enc_avif,quality_auto\/banding%202_edited_edited.png\" alt=\"banding 2_edited_edited.png\" \/><\/p>\n\n\t\t<\/div> \n\t<\/div> <\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"\u03a0\u03b5\u03c1\u03af\u03b4\u03b5\u03c3\u03b7 \u039a\u03b9\u03c1\u03c3\u03ce\u03bd \u039f\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5 \u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03b5\u03c1\u03af\u03b4\u03b5\u03c3\u03b7 \u03ba\u03b9\u03c1\u03c3\u03ce\u03bd \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5; \u200b\u039f\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03ba\u03af\u03c1\u03c1\u03c9\u03c3\u03b7 \u03ae\u03c0\u03b1\u03c4\u03bf\u03c2, \u03cc\u03c4\u03b1\u03bd \u03b7 \u03b2\u03bb\u03ac\u03b2\u03b7 \u03c4\u03bf\u03c5 \u03ae\u03c0\u03b1\u03c4\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c1\u03ba\u03b5\u03c4\u03ac \u03c3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03bf\u03c5\u03bd \u03b4\u03b9\u03ac\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c6\u03bb\u03b5\u03b2\u03b9\u03ba\u03bf\u03cd \u03b4\u03b9\u03ba\u03c4\u03cd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03bf\u03b9\u03c3\u03bf\u03c6\u03ac\u03b3\u03bf\u03c5 (\u03ba\u03b9\u03c1\u03c3\u03bf\u03cd\u03c2) \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03bf\u03b9 \u03ba\u03b1\u03c4\u03ac \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b1\u03b9\u03bc\u03bf\u03c1\u03c1\u03b1\u03b3\u03ae\u03c3\u03bf\u03c5\u03bd \u03bc\u03b5 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 \u03c3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b1\u03b9\u03bc\u03bf\u03c1\u03c1\u03b1\u03b3\u03af\u03b1 \u03b5\u03bd\u03c4\u03cc\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03b5\u03c0\u03c4\u03b9\u03ba\u03bf\u03cd \u03c3\u03c9\u03bb\u03ae\u03bd\u03b1....","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"footnotes":""},"class_list":["post-1285","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/pages\/1285","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/comments?post=1285"}],"version-history":[{"count":1,"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/pages\/1285\/revisions"}],"predecessor-version":[{"id":1286,"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/pages\/1285\/revisions\/1286"}],"wp:attachment":[{"href":"https:\/\/gastrokoum.gr\/en\/wp-json\/wp\/v2\/media?parent=1285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}