Variceal band ligation

Endoscopic variceal band ligation may be considered for patients:

• with varices at imminent risk of rupture at endoscopy
• who have a contraindication or intolerance to beta blockers
• who are nonadherent to beta blocker therapy
• in whom adequate reduction in heart rate is not achieved with beta blockers.

Endoscopic band ligation should be repeated every 2 to 6 weeks until varices have been obliterated. Regular endoscopy (every 6 to 12 months) is indicated to check for recurrence.