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What is Endoscopic Variceal Ligation (EVL)?

Endoscopic variceal ligation (EVL) is a life-saving procedure to treat esophageal varices – swollen veins in the esophagus caused by portal hypertension, often linked to liver cirrhosis. At Liver Surgeons, Delhi's premier center, we use EVL to:

  • Stop active variceal bleeding emergencies.
  • Prevent rebleeding in high-risk patients.
  • Improve survival in cirrhotic patients with portal hypertension
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Endoscopic Variceal Ligation in Delhi

Precision Band Ligation for Esophageal Varices, Preventing Rebleeding, and Enhancing Survival in Cirrhotic Patients

The EVL Procedure

  1. Preparation
    • Mild sedation ensures patient comfort.
  2. Endoscopy
    • A flexible scope with a camera identifies varices.
  3. Band Ligation
    • Rubber bands are placed around varices to cut off blood flow, causing them to shrink.
  4. Post-EVL Monitoring
    • Follow-up endoscopies ensure healing and detect new varices.

EVL vs. Sclerotherapy

Aspect EVL (Band Ligation) Sclerotherapy
Method Rubber bands strangulate varices Chemical injection into varices
Efficacy 90% success in preventing rebleeding 70-80% success rate
Complications Fewer side effects (e.g., ulcers) Higher risk of strictures, fever
Preferred For First-line variceal bleeding treatment Reserved for EVL failures

Why Choose Liver Surgeon in Delhi?

Dr. Ashish George – Leader in Advanced Endoscopy:

  • 15+ Years' Expertise: Performed 1,000+ EVL procedures, including complex portal hypertension cases.

Proven Outcomes:

  • 95% Bleeding Control Rate in emergencies.
  • 80% Reduction in Rebleeding Risk with scheduled follow-ups.

Technology:

  • High-Definition Endoscopy: Precise band placement even in fragile varices.
  • Doppler Ultrasound: Assesses portal pressure pre/post-EVL.

Holistic Care:

  • Post-EVL Monitoring: Regular endoscopies and liver function tests.
  • Lifestyle Guidance: Diet and medication plans to manage cirrhosis.

Cost-Effective:

  • EVL in India costs 60% less than in Western countries.

Prevent Esophageal Bleeding – Secure Your EVL Consultation Today!

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EVL (Endoscopic Variceal Ligation) FAQs

A liquid diet for 24 hours, transitioning to soft foods. Dr. Ashish George's Delhi team provides tailored dietary plans.

No! Sedation ensures comfort. Mild throat discomfort may last 1–2 days.

EVL manages variceal bleeding but doesn't cure underlying portal hypertension. Dr. George's India team addresses root causes (e.g., cirrhosis).

Every 3–6 months initially, then yearly. Post-EVL monitoring detects new varices early.

The procedure typically takes 20–30 minutes. Patients are usually discharged the same day unless complications arise.

Yes, avoid heavy lifting and strenuous exercise for a few days to minimize bleeding risk. Follow your doctor's post-procedure guidelines.

Absolutely. EVL can be safely repeated during follow-up endoscopies if new or residual varices are detected.

Watch for chest pain, black stools, vomiting blood, or fever. Contact your doctor immediately if any of these occur.