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Year : 2021  |  Volume : 19  |  Issue : 1  |  Page : 38-41

Variceal banding: Experience with two cases in nauth, Nnewi – A resource-limited environment

1 Department of Surgery, General Surgery Unit, NAUTH, Nnewi, Nigeria
2 Department of Medicine, Gastroenterology Unit, NAUTH, Nnewi, Nigeria

Correspondence Address:
Chiemelu D Emegoakor
Department of Surgery, General Surgery Unit, NAUTH, Nnewi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/NJGP.NJGP_14_20

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Esophageal varices can present with life-threatening hemorrhage and can be managed by surgery or medically. Banding is an endoscopic treatment for variceal bleeding and is a known management option for variceal bleeding but is not widely available in Nigeria due to lack of expertise and equipment. Previously, patients relied on medical management and surgery for treatment; however, these were not effective as mortality rates were high. Few centers in the country are known to offer this procedure to their patients and none has been reported in Southeast Nigeria, hence the justification for reporting our experience managing two cases of bleeding esophageal varices. We report two cases of variceal bleeding on the background of decompensated liver cirrhosis of alcohol and viral etiology, respectively. The first patient was on propranolol, but it was not effective in preventing variceal bleeding. The second patient was not on prophylaxis. Both the patients had variceal banding in NAUTH, Nnewi, and no complications were reported. Variceal banding is a safe procedure and is an effective measure in control of bleeding varices.

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