Treatment of choice for bleeding esophageal and gastric varices

Endoscopic Variceal Ligation For control of acute variceal bleeding EVL has been found to be as effective as EST. Technically more difficult than EST in the presence of massive bleed bf due to reduction in filed of view Variceal recurrence rates is higher in EVL since para oesophageal varices (perforating veins) are not obliterated Not suitable for small varices (grade I, II) EVL is associated with lesser complications and rebleeding Variceal eradication in fewer sessions but higher recurrence of varices Ref: Sabiston 20th edition Pgno : 1439